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 |
3% |
[2] |
[3%] |
|
3 |
3% |
[3] |
[3%] |
|
4 |
4% |
[4] |
[4%] |
|
5 |
5% |
[5] |
[4%] |
|
6 |
6% |
[6] |
[5%] |
|
7 |
7% |
[7] |
[6%] |
|
8 |
8% |
[8] |
[7%] |
|
9 |
8% |
[9] |
[8%] |
|
10 |
11% |
[10] |
[10%] |
|
11 |
13% |
[11] |
[11%] |
|
12 |
15% |
[12] |
[13%] |
|
13 |
17% |
[13] |
[15%] |
|
14 |
20% |
[14] |
[18%] |
|
15 |
24% |
[15] |
[20%] |
|
16 |
27% |
[16] |
[24%] |
|
>/=17 |
>/=32% |
[>/=17] |
[>/=27%] |
Step 9
(compare to average person your
age)
|
Comparative Risk |
|
Age
(Years) |
Average
10 Yr CHD Risk |
Average
10 Yr Hard* CHD Risk |
Low** 10
Yr CHD Risk |
|
30-34 |
<1% |
<1% |
<1% |
|
35-39 |
<1% |
<1% |
1% |
|
40-44 |
2% |
1% |
2% |
|
45-49 |
5% |
2% |
3% |
|
50-54 |
8% |
3% |
5% |
|
55-59 |
12% |
7% |
7% |
|
60-64 |
12% |
8% |
8% |
|
65-69 |
13% |
8% |
8% |
|
70-74 |
14% |
11% |
8% |
* Hard CHD
events exclude angina pectoris
** Low risk
was calculated for a person the
same age, optimal blood
pressure, LDL-C 100-129 mg/dl or
cholesterol 160-199 mg/dl, HDL-C
45 mg/dl, for men or 55 mg/dl
for women, non-smoker, no
diabetes.
Risk
estimates were derived from the
experience of the Framingham
Heart Study, a predominantly
Caucasian population in
Massachusetts, USA
|
Key |
|
Color |
Relative
Risk |
|
Green |
Very low |
|
White |
Low |
|
Yellow |
Moderate |
|
Rose |
High |
|
Red |
Very high |
Related Criteria
Estimate of
10-Year Risk for Coronary Heart
Disease for Men (Framingham Point
Scores)
NYHA Functional Classification for Congestive Heart Failure
Framingham Criteria for Congestive Heart Failure
Cardiovascular Major Risk Factors
Duke Criteria for Infective Endocarditis (IE)
Revised Jones Criteria for Acute
Rheumatic Fever (ARF)
Wells Clinical Prediction Rule
for Pulmonary Embolism and Deep
Venous Thrombosis
Braunwald Classification of Unstable Angina (UA)
More...
References:
