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Framingham Risk Score 2008 · South Asian Calibrated

Heart Disease Risk
Calculator.

Your 10-year cardiovascular risk, calculated free in under 2 minutes.

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Enter Clinical Parameters

Lab values required · Cholesterol in mg/dL (Indian labs) · BP in mmHg

Calculated locally. No patient data stored or transmitted. Enter lipids exactly as printed on your Indian lab report (mg/dL).
Patient Sex FRS uses sex-stratified scoring tables. Confirm biological sex for accurate scoring.
Age (years) The D'Agostino 2008 model was derived in adults aged 30–74 without prior CVD. This tool does not score under 30; from 75 onward it uses the table's open "75+" band, so interpret older ages cautiously with clinician judgement.
Cholesterol unit
Total Cholesterol mg/dL Fasting lipid panel: enter the total cholesterol value from your report.
📌 FRS 2008 TC bands: <160 (0 pts) | 160–199 (+1) | 200–239 (+2) | 240–279 (+3) | ≥280 (+4)  ·  mg/dL
HDL Cholesterol mg/dL Higher HDL is protective (negative points). Target: >40 men · >50 women (mg/dL)
📌 FRS 2008 HDL-C bands: ≥60 mg/dL (−2 pts) | 50–59 (−1) | 45–49 (0) | 35–44 (+1) | <35 (+2)
Systolic Blood Pressure (mmHg) Use most recent clinic reading. Treatment status changes point allocation significantly.
On antihypertensive medication?
Diabetes mellitus? Type 1 or Type 2. Men +3 pts, Women +4 pts. Diabetics with end-organ damage = Very High Risk Equivalent.
Smoking status Current = any tobacco in past 30 days. Men +4 pts, Women +3 pts. In the FRS model, smoking points are removed once the patient is no longer a current smoker; real-world cardiovascular risk then declines progressively after cessation.
Known ASCVD / previous cardiovascular event? Prior MI, stroke, TIA, PCI, CABG, or diagnosed coronary / peripheral artery disease. If Yes, this is secondary prevention: the patient is already Very High Risk and the Framingham 10-year (primary-prevention) score will not be shown.
South Asian / Indian ethnicity? Applies a 1.4× risk multiplier for South Asian men (UK NICE/JBS clinical guidance). No validated multiplier exists for South Asian women; the results panel will explain why instead of applying an unvalidated number.
Family history of premature CVD? First-degree relative (parent, sibling, child) with MI/stroke before age 55 (men) or 65 (women). Reported as a risk-enhancing factor: it is not added to the Framingham score.
Waist Circumference (cm) (optional) Flags abdominal obesity at IDF South Asian cutoffs (♂ ≥90 cm · ♀ ≥80 cm), independent of BMI. Reported as a risk enhancer, not added to the Framingham score.
📌 IDF South Asian cutoffs: Male ≥90 cm · Female ≥80 cm = abdominal obesity (risk enhancer)
Indian Lab Report Parameters (optional)

Standard Indian lipid reports (SRL, Thyrocare, Dr Lal) report values in mg/dL. Enter them here for auto-conversion and additional risk context. These do not alter the core FRS score but are displayed in the clinical notes output.

FRS 2008 (D'Agostino et al.) | CCS 2017 | ACC/AHA 2019 | PREDIMED | DASH | Portfolio Diet

10-YEAR CVD RISK (FRAMINGHAM 2008)
Complete the form
FRS POINTS
-
Raw score
VASCULAR AGE
- yrs
Cardiovascular age

About this calculator

This tool applies the D'Agostino 2008 Framingham model with sex-stratified point tables for men and women, a 1.4× ethnic risk correction for South Asian men (NICE/JBS guidance) with IDF waist-circumference cutoffs, and a reverse-calculated vascular age. Diet and LDL-C targets follow CCS 2017 and ACC/AHA 2019 guidelines.

WHAT YOU GET

10-Year CVD Risk %Full FRS 2008 sex-stratified scoring
Vascular AgeCardiovascular biological age output
SA Ethnic Correction1.4× multiplier for Indian patients
What-If SimulatorProject risk after lifestyle modifications
MNT ProtocolTier-specific dietary intervention plan
LDL-C TargetCCS 2017 patient-specific lipid target

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EVIDENCE BASE

FRS 2008D'Agostino et al., Circulation
PREDIMED 2018MedDiet, 30% CVD risk ↓ (NEJM)
DASH DietSBP −11.4 mmHg, RR CVD 0.80
Portfolio DietLDL-C −20–30% (Jenkins, JAMA)
CCS 2017 / ACC/AHA 2019LDL-C targets, statin thresholds

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⚕️ This calculator estimates 10-year cardiovascular risk using the D'Agostino 2008 Framingham model and is intended for adults without previous cardiovascular disease. If you have had a heart attack, stroke, TIA, angioplasty, bypass surgery, or known coronary/peripheral artery disease, you are already considered high or very high risk, and treatment decisions should be guided by your physician. It estimates probability from population-level data and does not constitute a diagnosis or a substitute for clinical judgment; all therapeutic decisions must be based on full lipid panel, patient history, examination, and physician assessment. LDL-C and pharmacotherapy targets align with CCS 2017/2021 and ACC/AHA 2019. The model was derived in adults aged 30–74; interpret older ages cautiously.

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