Coronary
Heart Disease (CHD)
score sheet for men using TC or
LDL-C categories. Uses age, TC
(or LDL-C), HDL-C, blood
pressure, diabetes, and smoking.
Estimates risk for CHD over a
period of 10 years based on
Framingham experience in men 30
to 74 years old at baseline.
Average risk estimates are based
on typical Framingham subjects,
and estimates of idealized risk
are based on optimal blood
pressure, TC 160 to 199 mg/dL
(or LDL 100 to 129 mg/dL), HDL-C
of 45 mg/dL in men, no diabetes,
and no smoking. Use of the LDL-C
categories is appropriate when
fasting LDL-C measurements are
available. Pts indicates points.
Step 1
|
Age |
|
Years |
LDL Pts |
Chol Pts |
|
30-34 |
-1 |
[-1] |
|
35-39 |
0 |
[0] |
|
40-44 |
1 |
[1] |
|
45-49 |
2 |
[2] |
|
50-54 |
3 |
[3] |
|
55-59 |
4 |
[4] |
|
60-64 |
5 |
[5] |
|
65-69 |
6 |
[6] |
|
70-74 |
7 |
[7] |
Step 2
|
LDL-C |
|
(mg/dl) |
(mmol/L) |
LDL Pts |
|
|
<100 |
<2.59 |
-3 |
|
|
100-129 |
2.60-3.36 |
0 |
|
|
130-159 |
3.37-4.14 |
0 |
|
|
160-190 |
4.15-4.92 |
1 |
|
|
>/=190 |
>4.92 |
2 |
|
|
|
|
Cholesterol |
|
(mg/dl) |
(mmol/L) |
|
Chol Pts |
|
<160 |
<4.14 |
|
[-3] |
|
160-199 |
4.15-5.17 |
|
[0] |
|
200-239 |
5.18-6.21 |
|
[1] |
|
240-279 |
6.22-7.24 |
|
[2] |
|
>/=280 |
>/=7.25 |
|
[3] |
Step 3
|
HDL-C |
|
(mg/dl) |
(mmol/L) |
LDL Pts |
Chol Pts |
|
<35 |
<0.90 |
2 |
[2] |
|
35-44 |
0.91-1.16 |
1 |
[1] |
|
45-49 |
1.17-1.29 |
0 |
[0] |
|
50-59 |
1.30-1.55 |
0 |
[0] |
|
>/=60 |
>/=1.56 |
-1 |
[-2] |
Step 4
|
Blood
Pressure |
|
Systolic
(mmHg) |
Diastolic
(mmHg) |
|
<80 |
80-84 |
85-89 |
90-99 |
>/=100 |
|
<120 |
0 [0] pts |
|
|
|
|
|
120-129 |
|
0 [0] pts |
|
|
|
|
130-139 |
|
|
1 [1] pts |
|
|
|
140-159 |
|
|
|
2 [2] pts |
|
|
>/=160 |
|
|
|
|
3 [3] pts |
Note: When
systolic and diastolic pressures
provide different estimates for
point scores, use the higher
number
Step 5
|
Diabetes |
|
|
LDL Pts |
Chol Pts |
|
No |
0 |
[0] |
|
Yes |
2 |
[2] |
Step 6
|
Smoker |
|
|
LDL Pts |
Chol Pts |
|
No |
0 |
[0] |
|
Yes |
2 |
[2] |
Step 7
(sum from steps 1-6)
|
Adding up
the points |
|
Age |
|
|
LDL-C or
Chol |
|
|
HDL-C |
|
|
Blood
Pressure |
|
|
Diabetes |
|
|
Smoker |
|
|
Point
total |
|
Step 8
(determine CHD risk from point
total)
|
CHD Risk |
|
LDL Pts
Total |
10 Yr CHD
Risk |
Chol Pts
Total |
10 Yr CHD
Risk |
|
<-3 |
1% |
|
|
|
-2 |
2% |
|
|
|
-1 |
2% |
[<-1] |
[2%] |
|
0 |
3% |
[0] |
[3%] |
|
1 |
4% |
[1] |
[3%] |
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