Calculating Global CHD Risk in Men
Step 1: Age Step 5: Diabetes Mellitus Step 8: CHD Risk
Years Points Years Points Present? Points 10-year risk 10-year risk
Total if LDL used if TC used
30 to 34 –1 55 to 59 4 No 0
points in step 2 (%) in step 2 (%)
35 to 39 0 60 to 64 5 Yes 2
40 to 44 1 65 to 69 6 ≤ –3 1 —
45 to 49 2 70 to 74 7 –2 2 —
Step 6: Smoking
50 to 54 3 –1 2 2
0 3 3
Smoker? Points
Step 2: LDL or TC Level 1 4 3
No 0 2 4 4
LDL Yes 2 3 6 5
mg per dL mmol per L Points 4 7 7
5 9 8
< 100 < 2.59 –3 Step 7: Total Points
6 11 10
100 to 129 2.59 to 3.35 0
7 14 13
Step 1: Age
130 to 159 3.36 to 4.13 0 8 18 16
Step 2: LDL or TC level
160 to 190 4.14 to 4.92 1 9 22 20
> 190 > 4.92 2 Step 3: HDL level 10 27 25
Step 4: Blood pressure 11 33 31
TC 12 40 37
Step 5: Diabetes mellitus
mg per dL mmol per L Points 13 47 45
Step 6: Smoking
≥ 14 ≥ 56 ≥ 53
< 160 < 4.14 –3 Total points
160 to 199 4.14 to 5.16 0
200 to 239 5.17 to 6.20 1 Step 9: Comparative Risk
240 to 279 6.21 to 7.23 2
Average Average Low
≥ 280 ≥ 7.24 3
10-year 10-year risk 10-year
Age CHD risk of hard CHD risk†
Step 3: HDL Level (years) (%) event* (%) (%)
30 to 34 3 1 2
Points (if LDL Points (if TC
mg per dL mmol per L used in step 2) used in step 2) 35 to 39 5 4 3
40 to 44 7 4 4
< 35 < 0.91 2 2
45 to 49 11 8 4
35 to 44 0.91 to 1.15 1 1
50 to 54 14 10 6
45 to 49 1.16 to 1.28 0 0 55 to 59 16 13 7
50 to 59 1.29 to 1.54 0 0 60 to 64 21 20 9
≥ 60 ≥ 1.55 –1 –2 65 to 69 25 22 11
70 to 74 30 25 14
Step 4: Blood Pressure *—Hard events exclude angina pectoris.
†—Low risk as calculated for a man of the same age
Diastolic (mm Hg) who does not smoke or have diabetes, and has optimal
Systolic
blood pressure, an LDL level of 100 to 129 mg per dL or
(mm Hg) < 80 80 to 84 85 to 89 90 to 99 ≥ 100
TC level of 160 to 199 mg per dL, and an HDL level of
< 120 0 points 45 mg per dL.
120 to 129 0 points
Key
130 to 139 1 point
140 to 159 2 points Color Relative risk Color Relative risk
≥ 160 3 points Green Very low Orange High
White Low Red Very high
NOTE:When systolic and diastolic pressures provide different point scores, use the
Yellow Moderate
higher score.
Figure 1. Charts for estimation of coronary heart disease (CHD) risk in men. (HDL = high-density lipoprotein;
LDL = low-density lipoprotein; TC = total cholesterol.)
Adapted with permission from Wilson PW, D’Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk
factor categories. Circulation. 1998;97(18):1843.
Calculating Global CHD Risk in Women
Step 1: Age Step 5: Diabetes Mellitus Step 8: CHD Risk
Years Points Years Points Present? Points 10-year risk 10-year risk
Total if LDL used if TC used
30 to 34 –9 55 to 59 7 No 0
points in step 2 (%) in step 2 (%)
35 to 39 –4 60 to 64 8 Yes 4
40 to 44 0 65 to 69 8 ≤ –2 1 1
45 to 49 3 70 to 74 8 –1 2 2
Step 6: Smoking 0 2 2
50 to 54 6
1 2 2
Smoker? Points
Step 2: LDL or TC Level 2 3 3
No 0 3 3 3
LDL Yes 2 4 4 4
mg per dL mmol per L Points 5 5 4
6 6 5
< 100 < 2.59 –2 Step 7: Total Points
7 7 6
100 to 129 2.59 to 3.35 0 8 8 7
Step 1: Age
130 to 159 3.36 to 4.13 0 9 9 8
Step 2: LDL or TC level 10 11 10
160 to 190 4.14 to 4.92 2
Step 3: HDL level 11 13 11
> 190 > 4.92 2
Step 4: Blood pressure 12 15 13
TC 13 17 15
Step 5: Diabetes mellitus
14 20 18
mg per dL mmol per L Points
Step 6: Smoking 15 24 20
< 160 < 4.14 –2 16 27 24
Total points
160 to 199 4.14 to 5.16 0 ≥ 17 ≥ 32 ≥ 27
200 to 239 5.17 to 6.20 1
Step 9: Comparative Risk
240 to 279 6.21 to 7.23 1
≥ 280 ≥ 7.24 3 Average Average Low
10-year 10-year risk 10-year
Age CHD risk of hard CHD risk†
Step 3: HDL Level
(years) (%) event* (%) (%)
Points (if LDL Points (if TC 30 to 34 <1 <1 <1
mg per dL mmol per L used in step 2) used in step 2)
35 to 39 <1 <1 1
< 35 < 0.91 5 5 40 to 44 2 1 2
35 to 44 0.91 to 1.15 2 2 45 to 49 5 2 3
45 to 49 1.16 to 1.28 1 1 50 to 54 8 3 5
55 to 59 12 7 7
50 to 59 1.29 to 1.54 0 0
60 to 64 12 8 8
≥ 60 ≥ 1.55 –2 –3 65 to 69 13 8 8
70 to 74 14 11 8
Step 4: Blood Pressure
*—Hard events exclude angina pectoris.
†—Low risk as calculated for a woman of the same age
Diastolic (mm Hg)
Systolic who does not smoke or have diabetes, and has optimal
(mm Hg) < 80 80 to 84 85 to 89 90 to 99 ≥ 100 blood pressure, an LDL level of 100 to 129 mg per dL or
TC level of 160 to 199 mg per dL, and an HDL level of 55
< 120 –3 points mg per dL (1.42 mmol per L).
120 to 129 0 points
Key
130 to 139 0 points
140 to 159 2 points Color Relative risk Color Relative risk
≥ 160 3 points Green Very low Orange High
White Low Red Very high
NOTE:When systolic and diastolic pressures provide different point scores, use the
Yellow Moderate
higher score.
Figure 2. Charts for estimation of coronary heart disease (CHD) risk in women. (HDL = high-density lipoprotein; LDL =
low-density lipoprotein; TC = total cholesterol.)
Adapted with permission from Wilson PW, D’Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk
factor categories. Circulation. 1998;97(18):1844.
