Even if you know how many risk factors you have, it can be difficult to understand how these risks add up. The worksheet reprinted below was designed to assess a person's individual risk profile and estimate his or her overall risk of developing CHD in the next 10 years. Created by the American Heart Association - together with the National Heart, Lung, and Blood Institute and the Framingham Heart Study - it considers a variety of risk factors, including blood pressure, cholesterol levels, and age.
Fill in your risk factor information as instructed below, total your score, and then check for your risk at the bottom. (If you don't know your status for any of the items, consult your doctor.) Keep in mind that this can only estimate your true risk. (For example, since the worksheet is based on data from a white, middle-class community, it may not be accurate for people from other races or income levels.) If your predicted risk is high, talk to your doctor about what you can do to reduce it. Then, use the worksheet to track your progress. |
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Family History of CHD is not included: Family history was not part of the original Framingham data set and thus is not part of the point score system. However, heredity is among the most powerful predictors of coronary heart disease. Consider adding 5 points to your score if you have a parent or sibling with premature heart attack or other evidence of CHD (before age 55 for men and age 65 for women).
HDL and total cholesterol: Certain methods of cholesterol measurement produce better results for this worksheet. Ask your doctor whether your HDL cholesterol levels were determined after heparin-manganese precipitation and whether your total cholesterol levels were measured using the Abell-Kendall method. If not, get the laboratory to convert the results to values obtained with these methods.
Systolic blood pressure: Value from a casual reading taken after sitting and resting for at least five minutes. Best results are obtained from averaging two separate readings, taken at least five minutes apart.
Cigarette smoking: Those who have never smoked or who quit at least one year ago are considered nonsmokers. This table does not differentiate between light and heavy smokers, but the more one smokes, the higher the risk.
Diabetes: Defined as people being treated with insulin or oral diabetes drugs, or those with a fasting glucose level of 140mg/dL or higher.
Left ventricular hypertrophy: Enlargement or thickening of the muscle of the left ventricle of the heart, as indicated by the results of an ECG. (Ask your doctor if your ECG has shown such changes.) This condition is a common consequence of persistent hypertension. |
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Worksheet - Traditional |
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(1) Determine Your Points for Each Risk Factor
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Age
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HDL
Cholesterol
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Total
Cholesterol
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Men
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Women
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40-41 = 5
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40 = 0
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25-26 = 7
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139-151 = -3
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42-43 = 6
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41 = 1
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27-29 = 6
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152-166 = -2
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44-45 = 7
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42 - 43 = 2
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30-32 = 5
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167- 882 = -1
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46-47 = 8
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44 = 3
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33-35 = 4
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183-199 = 0
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48-49 = 9
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45-46 = 4
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36-38 = 3
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200-219 = 1
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50-51 = 10
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47-48 = 5
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39-42 = 2
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220-239 = 2
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52-54 = 11
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49-50 = 6
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43-46 = 1
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240-262 = 3
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55-56 = 12
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51-52 = 7
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47-50 = 0
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263-288 = 4
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57-59 = 13
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53-55 = 8
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51-55 = -1
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289-315 = 5
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60-61 = 14
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56-60 = 9
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56-60 = -2
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316-330 = 6
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62-64 = 15
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61-67 = 10
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61-66 = -3
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65-67 = 16
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68-74 = 11
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67-73 = -4
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68-70 = 17
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74-80 = -5
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71-73 = 18
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81-87 = -6
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74 = 19
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88-96 = -7
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| Systolic Blood Pressure |
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Diabetes |
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Cigarette smoking
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Men |
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98-104 = -2
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No = 0
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No = 0
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105-112 = -1
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Yes = 3
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Yes = 4
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113-120 = 0
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121-129 = 1
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Women
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Left Ventricular Hypertrophy
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130-139 = 2
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No = 0
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No = 0
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140-149 = 3
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Yes = 6
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Yes = 9
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150-160 = 4
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161-172 = 5
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173-185 =6
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(2) Add up Points for all Risk Factors
Age
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__________ |
+ HDL Cholesterol
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__________
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+ Total Cholesterol
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__________
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+ Systolic Blood Pressure |
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__________
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| + Diabetes |
|
__________ |
| + Cigarette Smoking |
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__________
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+ Left Ventricular Hypertrophy
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__________
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Consider adding 5 Points for Family History of CHD
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__________
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| TOTAL POINTS =
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__________
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(3) Match Total Points with 5 and 10-Year CHD Risk
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Points
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5-year risk
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10-year risk
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Points
|
5-year risk
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10-year risk
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1
|
1%
|
2%
|
|
17
|
6%
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13%
|
|
2
|
1
|
2
|
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18
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7
|
14
|
|
3
|
1
|
2
|
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19
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8
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16
|
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4
|
1
|
2
|
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20
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8
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18
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5
|
1
|
3
|
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21
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9
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19
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6
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1
|
3
|
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22
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11 |
21 |
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7
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1
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4
|
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23
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12
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23
|
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8
|
2
|
4
|
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24
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13
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25
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9
|
2
|
5
|
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25
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14
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27
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10
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2
|
6
|
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26
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16
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29
|
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11
|
3
|
6
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|
27
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17
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31
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|
12
|
3
|
7
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28
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19
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33
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13
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3
|
8
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29
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20
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36
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14
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4
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9
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30
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22
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38
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15
|
5 |
10 |
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31
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24
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40
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16
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5
|
12
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32
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25
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42
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(4) Compare to Average 10-Year Risk***
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Men
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Women
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Age
|
Risk
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Age
|
Risk
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40-44
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6%
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40-44
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2%
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45-49
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10
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45-49
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5
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50-54
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14
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50-54
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8
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55-59
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16
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55-59
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12
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60-64
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21
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60-64
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13
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65-69
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30
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65-69
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9
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70-74
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24
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70-74
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12
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