Framingham Risk Score Calculator (2008 General CVD)
Calculate the 2008 lipid-based Framingham Risk Score for 10-year General CVD in adults aged 30–74 without established cardiovascular disease.
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About
Formula
Interpretation
2008 General CVD endpoint
The first general CVD composite includes coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, hemorrhagic stroke, transient ischemic attack, peripheral artery disease, and heart failure. It is not an ASCVD-only, Hard CHD, or cardiovascular-mortality estimate. [1, 2]
General CVD vs Hard CHD
Hard CHD Framingham calculators estimate a narrower coronary endpoint. This page estimates the broader 2008 General CVD composite, so percentages from the two models are not interchangeable. No Hard CHD result is calculated here. [1, 2]
Current U.S. PREVENT context
The Framingham result is a named historical General CVD model estimate. For current U.S. primary-prevention lipid decisions, the 2026 ACC/AHA dyslipidemia guideline uses PREVENT-ASCVD. Use the separate ASCVD Risk calculator for that different task; this page does not convert Framingham into PREVENT or assign a statin recommendation. [3, 4]
Canadian modified FRS is separate
Current Canadian guidance uses FRS or CLEM, and the CCS publishes a modified FRS pathway. Its FRS tool includes family-history handling and heart age that are not part of this frozen original continuous equation. This page does not apply Canadian modifications, Canadian risk categories, or Canadian treatment thresholds. [5, 6]
Eligibility and limitations
The original equation applies to adults aged 30–74 without established CVD at baseline and estimates a first event. It is not for secondary prevention, pregnancy, automatic treatment selection, or extrapolation outside its development age range. The historical male and female coefficient branches are model inputs, not a determination of gender identity; the page does not infer a branch. Current measurements also do not establish an individual's future outcome or the causal benefit of changing one input. [1, 2]
References
- D'Agostino RB Sr, et al. General cardiovascular risk profile for use in primary care. Circulation. 2008. PMID 18212285; DOI 10.1161/CIRCULATIONAHA.107.699579.
- Framingham Heart Study. Cardiovascular Disease (10-year risk): official risk-function page.
- 2026 ACC/AHA multisociety dyslipidemia guideline. DOI 10.1161/CIR.0000000000001423.
- American Heart Association. PREVENT equations and calculator overview.
- Canadian Cardiovascular Society. 2021 guideline: overview of dyslipidemia management in primary prevention.
- Canadian Cardiovascular Society. Framingham Risk Score calculator and current printable tool.
FAQ
It uses age, the original male or female coefficient branch, total cholesterol, HDL cholesterol, systolic blood pressure, treated or untreated blood-pressure status, current smoking, and diabetes. It produces no result when established CVD is known or uncertain because the model estimates a first event.
No. This is a named historical Framingham General CVD model. Current 2026 U.S. dyslipidemia guidance uses PREVENT-ASCVD for its applicable primary-prevention lipid pathway. The models have different endpoints, predictors, calibration, and clinical uses, so their percentages and thresholds are not interchangeable.
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Disclaimer
Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.