Estimate of 10-Year Risk for Coronary Heart Disease for Women (Framingham Point Scores)

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