The Framingham Heart Study Coronary

Heart Disease Risk Prediction Chart is one

mechanism of using the Framingham data to
give a risk assessment for the individual
patient. It is based on the summation of
points assigned by lookup of risk factors
from tables avoiding the more complex
calculations used by other approaches.
Tables
(1) age and gender
(2) total cholesterol in mg/dL
(3) HDL cholesterol in mg/dL
(4) systolic blood pressure in mm Hg
(5) other risk factors (cigarette
smoking diabetes mellitus left
ventricular hypertrophy)

47

48

49

50

10

51

10

52

11

53

11

54

11

55

12

56

12

57

13

58

13

59

13

60

14

61

10

14

62

10

15

63

10

15

64

10

15

age

female points

male points

65

10

16

30

-12

-2

66

10

16

31

-11

-1

67

10

16

32

-9

68

11

17

33

-8

69

11

17

34

-6

70

11

17

35

-5

71

11

18

36

-4

72

11

18

37

-3

73

11

18

38

-2

74

11

19

39

-1

40

41

42

43

44

45

46

total cholesterol in mg/dL

points

< 139

NA

139-151

-3

152-166

-2

167-182

-1

183-199

200-219

220-239

121-129

240-262

130-139

263-288

140-149

289-315

150-160

316-331

161-172

331+

NA

173-185

186+

NA

HDL-Cholesterol in mg/dL

Points

< 25

NA

25-26

27-29

30-32

33-35

36-38

39-42

43-46

47-50

51-55

-1

56-60

-2

61-66

-3

67-73

-4

74-80

-5

81-87

-6

88-96

-7

systolic blood pressure

Points

< 98

NA

98-104

-2

105-112

-1

113-120

Other Factors

Finding

cigarette
smoking

Yes

No

present and male

present and
female

absent

present

absent

diabetes

left ventricular
hypertrophy on
ECG

points

total score for all risk factors

= (points for age and sex) + (points for total
cholesterol) + (points for HDL cholesterol)
+ (points for systolic blood pressure) +
(points for other factors)
Interpretation
minimum score for women is -24 for men 14

 maximum score for women is 49 for men

54
5 and 10 year risk for coronary heart disease
is based by lookup from the following table:
score

5 year risk in 10 year risk in

percent
percent

-25 to 1

<1

<2

30

22

38

31

24

40

32

25

42

The individual risk for coronary heart

disease can be compared to the average 10
year risk for coronary heart disease in the
general population:
female

male

average 10 year risk

of CHD for age and
gender

(%)

(%)

< 30

NA

NA

30-34

<1

35-39

<1

40-44

45-49

10

10

50-54

14

11

55-59

12

16

12

60-64

13

21

13

65-69

30

14

70-74

12

24

15

10

> 74

NA

NA

16

12

17

13

18

14

19

16

20

18

21

19

22

11

21

23

12

23

24

13

25

25

14

27

26

16

29

27

17

31

28

19

33

29

20

36