Framingham Risk Score Calculator
Estimate 10-year general cardiovascular disease risk and view the Malaysia CPG 2023 risk band and lipid targets.
How to Use This Calculator
Steps
- Enter age, sex, total cholesterol, HDL-C, systolic blood pressure, smoking status, diabetes status, and BP-treatment status.
- Select any clinical override that applies.
- Choose Calculate Risk to view points, estimated risk, risk band, and lipid targets. If an enhancer panel appears, select the relevant enhancer and the result will update.
Interpretation
- Low: <10% — LDL-C goal <3.0; non-HDL-C <3.8 mmol/L.
- Intermediate: 10–20% — LDL-C goal <2.6; non-HDL-C <3.4 mmol/L.
- High: >20% or specified override/enhancer — LDL-C ≤1.8; non-HDL-C ≤2.6; ≥50% reduction.
- Very High: ≥30% or specified override — LDL-C ≤1.4 (≤1.0 for recurrent events); non-HDL-C ≤2.2; ≥50% reduction.
Assumptions and limitations
- Implements the Framingham General CVD (2008) point tables as reproduced in Malaysia CPG 2023.
- Primarily validated for ages 30–74; ages 75–79 may be overestimated. HDL-C must be lower than total cholesterol.
- This tool supports, but does not replace, clinical judgement and applicable local policy.
Patient Information
Sex
Validated mainly for ages 30–74; ages 75–79 may be overestimated.
SBP ≥180 mmHg is treated as a High-risk enhancer.
On BP-lowering treatment?
Current smoker?
Diabetes?
If Yes, the final band is at least Intermediate.
Overrides (select any that apply)
Risk Assessment
Estimated 10-year CVD risk
—
Enter the required values to begin.
Not calculated
LDL-C Target (mmol/L)—
non-HDL-C Target (mmol/L)—
Reduction from Baseline—
💡 Management & Treatment Recommendations
Please enter patient details and select Calculate Risk to view recommendations.
Risk enhancers (Low → High)
Risk enhancers (Intermediate → High)
Age0
Total Cholesterol0
HDL-C0
SBP0
Smoker0
Diabetes0
Total Points0
Enter data and select Calculate Risk.
Risk bands: Low <10%; Intermediate 10–20%; High >20%; Very High ≥30% or according to the clinical overrides above. Targets: Low LDL-C <3.0; Intermediate <2.6; High ≤1.8 and ≥50% reduction; Very High ≤1.4 and ≥50% reduction; recurrent-event goal ≤1.0 mmol/L.
Frequently Asked Questions
What does the Framingham Risk Score estimate?
It estimates a person’s 10-year probability of developing general cardiovascular disease based on age, sex, cholesterol, systolic blood pressure, treatment status, smoking, and diabetes.
Which cholesterol unit should I use?
Enter total cholesterol and HDL-C in mmol/L. Do not enter mg/dL values without first converting them.
Why can an override change the calculated risk band?
Some established conditions confer high or very high cardiovascular risk even when the point-based percentage is lower. The Malaysia CPG categories therefore take precedence when a listed override applies.
What are risk enhancers?
Risk enhancers are additional clinical findings that may reclassify a Low or Intermediate result as High risk. Only select an enhancer when it is known to be present.
Can this calculator replace a clinical assessment?
No. It is a decision-support and educational tool. Results should be interpreted with the complete clinical picture, current guidelines, and professional judgement.
References
- Ministry of Health Malaysia. Clinical Practice Guidelines: Management of Dyslipidaemia. 6th edition; 2023.
- D’Agostino RB Sr, Vasan RS, Pencina MJ, et al. General Cardiovascular Risk Profile for Use in Primary Care: The Framingham Heart Study. Circulation. 2008;117(6):743–753.
Medical disclaimer: This calculator is for educational and clinical decision-support purposes only. It is not a substitute for professional medical advice, diagnosis, treatment, or local clinical policy.