Coronary Heart
Disease (CHD)
score sheet for women using TC
or LDL-C categories. Uses age,
TC, HDL-C, blood pressure,
diabetes, and smoking. Estimates
risk for CHD over a period of 10
years based on Framingham
experience in women 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 55 mg/dL
in women, 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 |
-9 |
[-9] |
|
35-39 |
-4 |
[-4] |
|
40-44 |
0 |
[0] |
|
45-49 |
3 |
[3] |
|
50-54 |
6 |
[6] |
|
55-59 |
7 |
[7] |
|
60-64 |
8 |
[8] |
|
65-69 |
8 |
[8] |
|
70-74 |
8 |
[8] |
Step 2
|
LDL-C |
|
(mg/dl) |
(mmol/L) |
LDL Pts |
|
|
<100 |
<2.59 |
-2 |
|
|
100-129 |
2.60-3.36 |
0 |
|
|
130-159 |
3.37-4.14 |
0 |
|
|
160-190 |
4.15-4.92 |
2 |
|
|
>/=190 |
>4.92 |
2 |
|
|
|
|
Cholesterol |
|
(mg/dl) |
(mmol/L) |
|
Chol Pts |
|
<160 |
<4.14 |
|
[-2] |
|
160-199 |
4.15-5.17 |
|
[0] |
|
200-239 |
5.18-6.21 |
|
[1] |
|
240-279 |
6.22-7.24 |
|
[1] |
|
>/=280 |
>/=7.25 |
|
[3] |
Step 3
|
HDL-C |
|
(mg/dl) |
(mmol/L) |
LDL Pts |
Chol Pts |
|
<35 |
<0.90 |
5 |
[5] |
|
35-44 |
0.91-1.16 |
2 |
[2] |
|
45-49 |
1.17-1.29 |
1 |
[1] |
|
50-59 |
1.30-1.55 |
0 |
[0] |
|
>/=60 |
>/=1.56 |
-2 |
[-3] |
Step 4
|
Blood
Pressure |
|
Systolic |
Diastolic
(mmHg) |
|
(mmHg) |
<80 |
80-84 |
85-89 |
90-99 |
>/=100 |
|
<120 |
-3 [-3]
pts |
|
|
|
|
|
120-129 |
|
0 [0] pts |
|
|
|
|
130-139 |
|
|
0 [0] 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 |
4 |
[4] |
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 |
|
</=-2 |
1% |
[</=-2] |
[1%] |
|
-1 |
2% |
[-1] |
[2%] |
|
0 |
2% |
[0] |
[2%] |
|
1 |
2% |
[1] |
[2%] |
|
2 |
