CVD Risk Calculator

Estimate 10-year general cardiovascular disease risk with the Framingham equation for adults ages 30 to 74.

Framingham cardiovascular risk
Use current blood pressure and recent laboratory cholesterol results for the most meaningful estimate.

About 10-year CVD risk

Cardiovascular disease risk estimation combines several characteristics to describe the probability of a cardiovascular event over a defined period. This calculator implements the sex-specific 2008 Framingham general cardiovascular disease equations for adults ages 30 through 74. The modeled outcome is broader than coronary heart disease alone and includes coronary death, myocardial infarction, coronary insufficiency, angina, ischemic and hemorrhagic stroke, transient ischemic attack, peripheral artery disease, and heart failure. The calculation uses age, sex, total cholesterol, HDL cholesterol, systolic blood pressure, blood pressure treatment, current smoking, and diabetes. Each continuous measurement is transformed with a natural logarithm and multiplied by a published sex-specific coefficient. Smoking and diabetes add coefficients when present. The resulting sum is compared with the study mean and applied to the baseline survival value to produce a 10-year percentage. Diastolic pressure is collected for the complete blood pressure context shown by the source tool, but it is not a variable in this specific Framingham equation. A result below 10 percent is displayed as low risk, 10 through 20 percent as moderate risk, and above 20 percent as high risk. These broad categories make results easier to read, but treatment guidelines may use different thresholds and may target atherosclerotic cardiovascular disease rather than the broader Framingham outcome. The estimate does not mean that a particular person will or will not experience an event. It describes average outcomes among people with similar modeled characteristics. Risk equations have limits. Framingham cohorts may not represent every ancestry, country, age, or contemporary treatment setting equally well. Family history, kidney disease, inflammatory disorders, pregnancy-related conditions, triglycerides, obesity, physical activity, social determinants, coronary calcium, and other important factors are not directly included. People with established cardiovascular disease, very high cholesterol, or certain high-risk diagnoses may already need clinical management without relying on a calculated percentage. Use measurements from reliable sources. Blood pressure varies, so clinicians often use repeated properly obtained readings. Cholesterol values should come from a laboratory report in mg/dL, and current smoking includes regular cigarette exposure at the time of assessment. Never start, stop, or change medication based only on this result. A healthcare professional can choose the risk model appropriate for the patient, verify inputs, consider risk enhancers, explain prevention options, and decide whether further testing is useful. New chest pressure, severe shortness of breath, sudden weakness, or other possible emergency symptoms require immediate medical care.

CVD risk examples

ProfileEstimated riskCategory
Male, 35, BP 120 untreated, total 180, HDL 55, no smoking or diabetes2.0%Low risk
Male, 55, BP 140 untreated, total 220, HDL 45, no smoking or diabetes15.3%Moderate risk
Male, 60, BP 160 untreated, total 250, HDL 40, current smoker, no diabetes50.2%High risk

How to estimate CVD risk

  1. Gather recent cholesterol results and a properly measured blood pressure reading.
  2. Enter age, sex, smoking status, blood pressure, total cholesterol, and HDL cholesterol.
  3. Indicate whether diabetes is present and whether blood pressure is treated.
  4. Select Calculate 10-year risk and review the estimate with a healthcare professional.

Frequently asked questions

What cardiovascular events does this estimate cover?

The general Framingham outcome includes several coronary, cerebrovascular, peripheral arterial, and heart failure events. It is broader than a calculator limited to heart attack and coronary death.

Why does the calculator ask for sex?

The published Framingham model uses separate coefficients and baseline survival values for males and females. Sex here is a required equation variable and does not capture every aspect of gender or individual biology.

Why is diastolic pressure not reflected in the equation?

The source interface collects a complete blood pressure pair, but the 2008 general CVD equation uses systolic pressure and treatment status. Diastolic pressure remains clinically important even though it is not part of this formula.

Does low risk mean no action is needed?

No. Low 10-year risk does not equal zero risk, and lifetime risk can still be meaningful. Healthy habits and routine clinical screening remain important.

Can this result determine whether I need medication?

No. Medication decisions depend on the applicable guideline, confirmed measurements, diagnoses, preferences, potential benefits, and possible harms. Review the result with a qualified healthcare professional.