Table 3.16-1. Framingham risk score: estimation of the 10-year risk of cardiovascular disease (the ACC/AHA risk score or the British QRISK-2 may be more commonly used outside North America)

Risk factor

Risk points

Men

Women

Age

35-39

2

2

40-44

5

4

45-49

7

5

50-54

8

7

55-59

10

8

60-64

11

9

65-69

12

10

70-74

14

11

≥75

15

12

HDL-C (mmol/L)

>1.60

−2

1.30-1.60

−1

1.20-1.29

0

0.90-1.19

1

<0.90

2

Total cholesterol (mmol/L)

4.10-5.19

1

1

5.20-6.19

2

3

6.20-7.20

3

4

>7.20

4

5

Systolic blood pressure (mm Hg)

 

Untreated

Treated

Untreated

Treated

<120

−2

0

−3

−1

 120-129

0

2

0

2

 130-139

1

3

1

3

 140-149

2

4

2

5

 150-159

2

4

2

5

>160

3

5

5

7

Smoking status

Smoker

4

3

Interpretation

10-year risk of CVD is assumed to be:

High if risk is ≥20%;

Intermediate if risk is 10%-19%;

Low if risk is <10%.

For women:

High risk: ≥18 points

Intermediate risk: 13-17 points

For men:

High risk: ≥15 points

Intermediate risk: 11-14 points

Based on Circulation. 1998;97(18):1837-47 and Can J Cardiol. 2016;32(11):1263-1282.

CVD, cardiovascular disease; HDL-C, high-density lipoprotein cholesterol.