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    Framingham Category Risk Score

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    syaiful rinanto
    This document provides information on how to calculate a patient's 10-year risk of coronary heart disease (CHD) using the Framingham Risk Score. It involves adding scores based on age, total cholesterol, HDL cholesterol, blood pressure, diabetes status, and smoking to determine a total score. The total score corresponds to a predicted 10-year absolute risk percentage for CHD events by sex. It also provides categories to classify risk levels and guidelines for treatment based on absolute risk thresholds.

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    Framingham Category Risk Score

    Uploaded by

    syaiful rinanto
    56 views1 page
    This document provides information on how to calculate a patient's 10-year risk of coronary heart disease (CHD) using the Framingham Risk Score. It involves adding scores based on age, total cholesterol, HDL cholesterol, blood pressure, diabetes status, and smoking to determine a total score. The total score corresponds to a predicted 10-year absolute risk percentage for CHD events by sex. It also provides categories to classify risk levels and guidelines for treatment based on absolute risk thresholds.

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    This document provides information on how to calculate a patient's 10-year risk of coronary heart disease (CHD) using the Framingham Risk Score. It involves adding scores based on age, total cholesterol, HDL cholesterol, blood pressure, diabetes status, and smoking to determine a total score. The total score corresponds to a predicted 10-year absolute risk percentage for CHD events by sex. It also provides categories to classify risk levels and guidelines for treatment based on absolute risk thresholds.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    56 views1 page

    Framingham Category Risk Score

    Uploaded by

    syaiful rinanto
    This document provides information on how to calculate a patient's 10-year risk of coronary heart disease (CHD) using the Framingham Risk Score. It involves adding scores based on age, total cholesterol, HDL cholesterol, blood pressure, diabetes status, and smoking to determine a total score. The total score corresponds to a predicted 10-year absolute risk percentage for CHD events by sex. It also provides categories to classify risk levels and guidelines for treatment based on absolute risk thresholds.

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    © All Rights Reserved
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    FRAMINGHAM RISK SCORE to predict 10 year ABSOLUTE RISK of CHD EVENT

    WEST HERTFORDSHIRE CARDIOLOGY


    This risk assessment only applies to assessment for PRIMARY PREVENTION of CHD, in people who do not have evidence of established vascular disease.
    Patients who already have evidence of vascular disease usually have a >20% risk of further events of over 10 years, and require vigorous SECONDARY PREVENTION.
    People with a Family History of premature vascular disease and some Asians are at higher risk than predicted; Southern Europeans may have a lower risk in relation to standard risk factors.

    STEP 1: Add scores by sex for Age, Total Cholesterol, HDL-Cholesterol, BP, Diabetes and Smoking. (If HDL unknown, assume 1.1 in Males, 1.4 in Females)
    Age Total Cholesterol HDL Cholesterol Systolic BP Diastolic BP Diabetes M F Smoking M F
    M F M F M F M ale <80 80-84 85-89 90-99 ≥ 100 No 0 0 No 0 0
    30-34 -1 -9 < 4.1 -3 -2 < 0.9 2 5 <120 0 0 1 2 3 Yes 2 4 Yes 2 2
    35-39 0 -4 4.1 – 5.1 0 0 0.9 - 1.16 1 2 120-129 0 0 1 2 3
    40-44 1 0 5.2 – 6.2 1 1 1.17 - 1.29 0 1 130-139 1 1 1 2 3
    45-49 2 3 6.3 – 7.1 2 1 1.30 - 1.55 0 0 140-159 2 2 2 2 3
    50-54 3 6 ≥ 7.2 3 3 ≥ 1.56 -2 -3 ≥ 160 3 3 3 3 3
    55-59 4 7 Female <80 80-84 85-89 90-99 ≥ 100 Categorisation of 10 year Risk
    60-64 5 8 <120 -3 0 0 2 3 of CHD Event

    65-69 6 8 120-129 0 0 0 2 3 Very Low risk < 10%


    70-74 7 8 130-139 0 0 0 2 3 Low risk < 15%
    140-159 2 2 2 2 3 Moderate risk 15-20%
    ≥ 160 3 3 3 3 3 High risk > 20%
    If Systolic and Diastolic BP fall into different categories,
    use score from higher category

    STEP 2: Use total score to determine Predicted 10 year Absolute Risk of CHD Event (Coronary Death, Myocardial Infarction, Angina) by sex
    Total Score ≤-2 -1 0 1 2 3 4 5 6 7 8 9 10 11 12 3 14 15 16 ≥17
    10 year Risk: Male <2% 3% 3% 4% 5% 7% 8% 10% 13% 16% 20% 25% 31% 37% 45% ≥53% ≥53% ≥53% ≥53%
    10 year Risk: Female <1% 2% 2% 2% 3% 3% 4% 4% 5% 6% 7% 8% 10% 11% 13% 15% 18% 20% 24% ≥27%

    STEP 3: Compare Predicted 10 year Absolute Risk with "Average" and "Ideal" 10 year Risks, to give Relative Risks
    Age 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 "Ideal" risk represents
    "Average" Male 3% 5% 7% 11% 14% 16% 21% 25% 30% Total Cholesterol = 4.1 - 5.1
    "Ideal" Male 2% 3% 4% 4% 6% 7% 9% 11% 14% HDL = 1.2 (Male), 1.4 (Female)
    "Average" Female < 1% < 1% 2% 5% 8% 12% 12% 13% 14% BP < 120/80
    "Ideal" Female < 1% 1% 2% 3% 5% 7% 8% 8% 8% No Diabetes, Non Smoker

    People with an absolute risk of ≥30% should be considered for treatment: with a Statin to achieve a Total Cholesterol <5 and/or LDL cholesterol <3
    People with an absolute risk of ≥15% should be considered for treatment with anti-hypertensives to achieve a BP ideally ≤140/90

    from Wilson PWF, et al Prediction of coronary heart disease using risk factor categories. Circulation 1998;97:1837-47 Dr John Bayliss Feb 2001

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