There are several distinct Framingham risk models. MDCalc uses the 'Hard' Coronary Framingham outcomes model, which is intended for use in non-diabetic patients age 30-79 years with no prior history of coronary heart disease or intermittent claudication. See the official Framingham website for additional Framingham risk models.
When to Use
Use in patients aged 30-79 years with no prior history of coronary heart disease. Do not use in patients with intermittent claudication or diabetes.
The Framingham data, while thorough, come from many years ago with a potentially different US population along with a different diet and level of smoking as well, which may suggest different risk levels today.
Patients with high risk scores should be counseled aggressively about social factors contributing to their risk (smoking, exercise, weight, diet, etc) and also managed with blood pressure and lipid evaluation.
Addition of points assigned to ranges of values in risk factors. See links below.
Peter W. F. Wilson, MD, is professor of medicine in the cardiology division of Emory University and a professor of public health at the Rollins School of Public Health. He is currently the director of epidemiology and genomic medicine at the Atlanta VA Medical Center. Dr. Wilson researches metabolic and cardiovascular population issues, focusing on determinants of CAD, including diabetes mellitus, hormonal factors, inflammatory markers, and genetics.
To view Dr. Peter W.F. Wilson's publications, visit PubMed