GEMS Study

Framingham calculation of 10 year risk of Coronary Disease*

If you don't have Type 2 Diabetes or clinical evidence of Cardiovascular Disease, you may calculate your risk for Heart Disease with the table below.

Step 1: AGE	Risk Points
YEARS	MEN	WOMEN
30-34	-1	-9
35-39	0	-4
40-44	1	0
45-49	2	3
50-54	3	6
55-59	4	7
60-64	5	8
65-69	6	8
70-74	7	8

Step 2: Total CHOLESTEROL	Risk Points
mmol/L	MEN	WOMEN
<4.14	-3	-2
4.15-5.17	0	0
5.18-6.21	1	1
6.22-7.24	2	2
>7.24	3	3

Step 3: HDL-C	Risk Points
mmol/L	MEN	WOMEN
<0.90	2	5
0.91-1.16	1	2
1.17-1.29	0	1
1.3-1.55	0	0
>1.55	-2	-3

Step 4: Systolic Blood Pressure	Risk Points
	MEN	WOMEN
<120	0	-3
120-129	0	0
130-139	1	1
140-160	2	2
>160	3	3

Step 5: SMOKER	Risk Points
	MEN	WOMEN
No	0	0
Yes	2	2

Step 6: SUM	Points:
(Steps 1-5)	MEN	WOMEN
Age
Cholesterol
HDL-C
Blood Pressure
Smoker
Total Points

Step 7: Calculate Risk*	10 Year Risk
Total Risk Points	MEN	WOMEN
1	3%	2%
2	4%	3%
3	5%	3%
4	7%	4%
5	8%	4%
6	10%	5%
7	13%	6%
8	16%	7%
9	20%	8%
10	25%	10%
11	31%	11%
12	37%	13%
13	45%	15%
14	>53%	18%
15		20%
16		24%
17		>27%

Step 8: Compare CHD Risk
	MEN
Age	Average	Low
30-34	3%	2%
35-39	5%	3%
40-44	7%	4%
45-49	11%	4%
50-54	14%	6%
55-59	16%	7%
60-64	21%	9%
65-69	25%	11%
70-74	30%	14%
	WOMEN
Age	Average	Low
30-34	<1%	<1%
35-39	<1%	<1%
40-44	2%	2%
45-49	5%	3%
50-54	8%	5%
55-59	12%	7%
60-64	12%	8%
65-69	13%	8%
70-74	14%	8%

* Please Note: The Framingham tables underestimate CHD risk if LCL-C is greater than 6.0 mmol/L.
Risk of CHD outcomes include angina pectoris, unstable angina, non-fatal MI and coronary death over subsequent 10 years for a Framingham Study participant with that specific risk score.