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    Framingham Risk Score for Hard Coronary Heart Disease

    Estimates 10-year risk of heart attack.
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    INSTRUCTIONS

    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, as it is the most widely applicable to patients without previous cardiac events. See the official Framingham website for additional Framingham risk models.

    When to Use
    Pearls/Pitfalls
    • 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.
    years
    Female
    Male
    No
    Yes
    mg/dL
    mg/dL
    mm Hg
    No
    Yes

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    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.
    About the Creator
    Dr. Peter W.F. Wilson
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