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Framingham Cardiac Risk Scale
Aka: Framingham Cardiac Risk Scale, Framingham Coronary Heart Disease 10 Year Risk Score, Framingham Score, Framingham Risk Score, Framingham Risk Calculator, ASCVD Risk Calculator
- See Also
- Chest Pain
- Acute Chest Pain
- Angina Diagnosis
- Cardiac Risk Assessment
- Cardiac Risk Management
- Coronary Risk Stratification of Chest Pain
- TIMI Risk Score
- Bosner Chest Pain Decision Rule
- Cardiac Risk in Diabetes Score
- Chest Wall Pain Prediction Rule
- HEART Score
- GRACE Score
- Vancouver Chest Pain Rule
- Background
- New calculator released for use with ACC/AHA 2013 Hyperlipidemia Guidelines and replaces the Framingham Calculator
- Calculator appears to primarily overestimate cardiovascular risk
- Calculator also allows for estimation of impact of Tobacco Cessation or adding Statin or Aspirin
- Calculators (interfaces vary, but use the same calculations)
- AHA
- http://static.heart.org/riskcalc/app/index.html#!/baseline-risk
- ACC
- http://tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/estimate/
- Indications
- No known cardiovascular disease AND Age 40 to 75 years old (or LDL Cholesterol >190 mg/dl)
- Allows for decision making in primary prevention
- Starting Aspirin for age >50 years old
- Starting a Blood Pressure medication for stage I Hypertension
- Assigning an LDL goal and starting a Statin for Hyperlipidemia
- Criteria
- Diabetes Mellitus or other heart disease equivalent
- Current Tobacco Use
- Age
- Gender
- Total Cholesterol
- HDL Cholesterol
- Systolic Blood Pressure
- Hypertension treatment
- Interpretation: Cardiovascular Risk
- Low: <10% CAD 10 year risk (<0.6% per year)
- Moderate: 10-20% CAD 10 year risk (0.6-2.0% per year)
- High:>20% CAD 10 year risk (>2% per year)