Framingham Risk Score Calculator

Framingham Risk Score Calculator. Calculate your 10-year cardiovascular disease risk using the Framingham Risk Score. Enter your age, sex, total cholesterol, HDL cholesterol, systolic blood pressure, and lifestyle factors like smoking status, diabetes, and hypertension treatment. You'll get a 10-year CVD risk percentage along with a risk category (low, moderate, or high) to help guide clinical decisions. Also try the CVD Risk (10-Year) Calculator.

Results

10-Year CVD Risk

Risk Category

Estimated Heart Age

What is the Framingham Risk Score?

The Framingham Risk Score (FRS) is a validated clinical tool that estimates a person's 10-year probability of developing cardiovascular disease (CVD), including coronary artery disease, stroke, peripheral vascular disease, and heart failure. It was derived from the long-running Framingham Heart Study and is widely used in primary prevention settings. See also our Cholesterol Ratio Calculator.

Who is the Framingham Risk Score designed for?

The FRS is intended for adults aged 30 to 79 years without pre-existing cardiovascular disease. It is not meant for patients who already have a known CVD diagnosis, as these individuals are already considered high risk and require active management regardless of their score.

What do the risk categories mean?

A 10-year risk below 10% is considered low risk, 10–20% is intermediate risk, and above 20% is high risk. High-risk patients typically warrant more aggressive lifestyle interventions and may be candidates for lipid-lowering therapy or other preventive treatments.

How does sex affect the Framingham Risk Score?

Men and women use separate scoring equations because cardiovascular risk factors have different weights by sex. For example, age and cholesterol contribute differently to absolute risk in males versus females. The 2008 model provides sex-specific coefficients to ensure accuracy for both groups.

Does the score account for family history?

The 2008 Framingham model does not formally include family history as a variable. However, clinical guidelines commonly recommend doubling the calculated FRS when a patient has a first-degree relative with premature coronary artery disease (men under 55, women under 65) to account for this added risk.

Why does treatment for hypertension affect the score?

Being on antihypertensive medication indicates that blood pressure is being actively managed, but it also implies the patient has a history of elevated blood pressure. The Framingham model assigns a higher coefficient to treated systolic blood pressure because treated hypertension still carries residual cardiovascular risk beyond what the blood pressure reading alone suggests.

What is 'heart age' and how is it calculated?

Heart age is an estimate of the age at which a person with all optimal risk factor values would have the same calculated CVD risk as the patient. A heart age higher than chronological age signals accelerated cardiovascular aging and can be a motivating way to communicate risk to patients.

How should I act on a high Framingham Risk Score?

A high score should prompt a conversation with a healthcare provider about lifestyle modifications such as smoking cessation, dietary changes, and increased physical activity, as well as consideration of pharmacological interventions like statins or antihypertensives. The FRS is a screening tool to guide clinical decision-making, not a definitive diagnosis. You might also find our calculate Metabolic Syndrome Risk Factors Met (out of 5) useful.