CVD Risk Calculator — 10-Year Framingham Risk Score
Enter 7 cardiovascular risk factors and get your 10-year CVD risk from the published Framingham General CVD Risk Score (D'Agostino et al., Circulation 2008): points per factor, total points, risk percentage, and risk category. 100% in your browser — nothing is uploaded.
Your risk factors
Worked examples (from the Framingham publication itself)
These two cases are the worked examples in D'Agostino et al. 2008 (Tables 11–12) — tap one to load it into the calculator and verify the points.
Total cholesterol 180 mg/dL · HDL 47 mg/dL · SBP 124 mmHg (no medication) · smoker · no diabetes
Points: 9 + 1 + 0 + 0 + 3 + 0 = 13 → 10.0% (intermediate)
Total cholesterol 161 mg/dL · HDL 55 mg/dL · SBP 125 mmHg (on medication) · non-smoker · diabetes
Points: 8 + 1 − 1 + 2 + 0 + 3 = 13 → 15.6% (intermediate)
How the points work
Each factor contributes integer points from the published sex-specific tables (D'Agostino 2008, Tables 5–8). The point total maps to a 10-year risk percentage. Expand to see the full tables.
Men — points per factor
| Age (years) | Points |
|---|---|
| 30–34 | 0 |
| 35–39 | 2 |
| 40–44 | 5 |
| 45–49 | 6 |
| 50–54 | 8 |
| 55–59 | 10 |
| 60–64 | 11 |
| 65–69 | 12 |
| 70–74 | 14 |
| 75+ * | 15 |
| Total cholesterol (mg/dL) | Points |
|---|---|
| <160 | 0 |
| 160–199 | 1 |
| 200–239 | 2 |
| 240–279 | 3 |
| ≥280 | 4 |
| HDL cholesterol (mg/dL) | Points |
|---|---|
| <35 | 2 |
| 35–44 | 1 |
| 45–49 | 0 |
| 50–59 | −1 |
| ≥60 | −2 |
| Systolic BP (mmHg) | Untreated | Treated |
|---|---|---|
| <120 | −2 | 0 |
| 120–129 | 0 | 2 |
| 130–139 | 1 | 3 |
| 140–149 | 2 | 4 |
| 150–159 | 2 | 4 |
| ≥160 | 3 | 5 |
| Smoker | Points |
|---|---|
| Yes | 4 |
| Diabetes | Points |
|---|---|
| Yes | 3 |
* 75+ uses the Canadian Cardiovascular Society guideline extension row; the Framingham study validated ages 30–74.
Women — points per factor
| Age (years) | Points |
|---|---|
| 30–34 | 0 |
| 35–39 | 2 |
| 40–44 | 4 |
| 45–49 | 5 |
| 50–54 | 7 |
| 55–59 | 8 |
| 60–64 | 9 |
| 65–69 | 10 |
| 70–74 | 11 |
| 75+ * | 12 |
| Total cholesterol (mg/dL) | Points |
|---|---|
| <160 | 0 |
| 160–199 | 1 |
| 200–239 | 3 |
| 240–279 | 4 |
| ≥280 | 5 |
| HDL cholesterol (mg/dL) | Points |
|---|---|
| <35 | 2 |
| 35–44 | 1 |
| 45–49 | 0 |
| 50–59 | −1 |
| ≥60 | −2 |
| Systolic BP (mmHg) | Untreated | Treated |
|---|---|---|
| <120 | −3 | −1 |
| 120–129 | 0 | 2 |
| 130–139 | 1 | 3 |
| 140–149 | 2 | 5 |
| 150–159 | 4 | 6 |
| ≥160 | 5 | 7 |
| Smoker | Points |
|---|---|
| Yes | 3 |
| Diabetes | Points |
|---|---|
| Yes | 4 |
* 75+ uses the Canadian Cardiovascular Society guideline extension row; the Framingham study validated ages 30–74.
Points → 10-year risk (%)
| Points | Men | Women |
|---|---|---|
| ≤ −3 | <1 | <1 |
| −2 | 1.1 | <1 |
| −1 | 1.4 | 1.0 |
| 0 | 1.6 | 1.2 |
| 1 | 1.9 | 1.5 |
| 2 | 2.3 | 1.7 |
| 3 | 2.8 | 2.0 |
| 4 | 3.3 | 2.4 |
| 5 | 3.9 | 2.8 |
| 6 | 4.7 | 3.3 |
| 7 | 5.6 | 3.9 |
| 8 | 6.7 | 4.5 |
| 9 | 7.9 | 5.3 |
| 10 | 9.4 | 6.3 |
| 11 | 11.2 | 7.3 |
| 12 | 13.2 | 8.6 |
| 13 | 15.6 | 10.0 |
| 14 | 18.4 | 11.7 |
| 15 | 21.6 | 13.7 |
| 16 | 25.3 | 15.9 |
| 17 | 29.4 | 18.5 |
| 18 | >30 | 21.5 |
| 19 | >30 | 24.8 |
| 20 | >30 | 28.5 |
| ≥ 21 | >30 | >30 |
Scope boundary
This tool implements the Framingham General CVD Risk Score (D'Agostino et al., Circulation 2008) — a points-based 10-year risk of any cardiovascular event (coronary disease, stroke, peripheral artery disease, heart failure). It is not our Arterial Age calculator, which uses the 2013 Pooled Cohort Equations to re-express risk as a "heart age" — different model, different output. It is also not the older ATP-III Framingham score (10-year risk of heart attack only, with age×cholesterol interaction tables). A separate Framingham-focused tool is queued independently.
Related health tools: BMI calculator · cholesterol units converter · heart rate zone lab · browse all nrtechstudio.com tools.
Frequently asked questions
What is the Framingham CVD risk score?
The Framingham General CVD Risk Score (D'Agostino et al., Circulation 2008) estimates the 10-year probability of developing any cardiovascular disease — coronary heart disease, stroke, peripheral artery disease, or heart failure — from 7 risk factors: age, sex, total cholesterol, HDL cholesterol, systolic blood pressure (with separate points for treated vs untreated), current smoking, and diabetes. Each factor contributes integer points from a published sex-specific table; the point total maps to a 10-year risk percentage. This calculator implements those published point tables exactly.
What do the risk categories mean?
Following the Canadian Cardiovascular Society convention used with this score: below 10% is low risk, 10% to below 20% is intermediate risk, and 20% or above is high risk. These are population-derived estimates, not diagnoses — two people with the same percentage can have very different individual outlooks, so always discuss your result with a qualified doctor.
Which risk factors does the calculator use?
Seven: age, sex, total cholesterol, HDL (“good”) cholesterol, systolic blood pressure (points differ depending on whether you take blood-pressure medication), current smoking, and diabetes. Family history, ethnicity, and statin use are not part of this particular score.
Is this a medical diagnosis?
No. This is an educational estimate based on a population study (the Framingham Heart Study, mostly white US adults). It cannot diagnose disease or predict what will happen to you personally, and it is not a substitute for professional medical evaluation. Never start, stop, or change medication based on a web calculator — talk to a qualified doctor.
How is this different from the Arterial Age calculator?
Different model, different output. The Arterial Age calculator uses the 2013 ACC/AHA Pooled Cohort Equations to estimate 10-year ASCVD risk and re-expresses it as a “heart age”. This tool uses the 2008 Framingham point system and reports the 10-year risk percentage directly. It is also different from the older ATP-III Framingham score, which estimated heart-attack-only (CHD) risk with a different point system.
Can I use it if I am 75 or older?
The Framingham score was validated for ages 30 to 74. For 75 and above, this tool uses the extended age row from the original paper's own tables (15 points for men, 12 for women) and clearly labels the result as extended-range — treat it with extra caution and discuss it with your doctor.
Why do smoking and diabetes score differently for men and women?
Because the underlying Framingham data showed different relative risks: in the study's Cox model, diabetes carried a stronger relative risk for women (hazard ratio 2.00) than for men (1.78), while smoking was stronger for men (1.92) than for women (1.70). The point system reflects that: diabetes is 4 points for women vs 3 for men, and smoking is 3 points for women vs 4 for men.
Can I lower my estimated 10-year risk?
The score is computed from your current risk factors, so the estimate falls when modifiable factors improve — quitting smoking, lower blood pressure, or better cholesterol each remove points. The per-factor breakdown shows which of your inputs contributes most. This tool cannot prescribe treatment; any plan to change risk factors belongs in a conversation with your doctor.
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