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CLINICAL TOOL · FRAMINGHAM RISK SCORE 2008 · SOUTH ASIAN CALIBRATED

Heart Disease Risk
Calculator.

Sex-stratified 10-year CVD risk prediction (FRS 2008) with South Asian ethnic correction, vascular age output, and evidence-based dietary intervention plans aligned to CCS 2017 & ACC/AHA 2019.

Framingham 2008 (D'Agostino et al.)
South Asian 1.4× Ethnic Correction
CCS 2017 · ACC/AHA 2019 · IDF
Vascular Age · What-If Simulator

Enter Clinical Parameters

Lab values required · Cholesterol in mmol/L · BP in mmHg

Calculated locally — no patient data stored or transmitted. mg/dL → mmol/L: divide by 38.67
Patient Sex FRS uses sex-stratified scoring tables — ensure accuracy
Age (years) FRS valid 30–79 yrs. South Asian men: scoring from age 25 (earlier atherosclerotic onset)
Total Cholesterol (mmol/L) Fasting lipid panel. Bands: <4.1 · 4.1–5.2 · 5.2–6.2 · 6.2–7.2 · >7.2
📌 mg/dL ÷ 38.67 = mmol/L  ·  Typical range: 3.0–9.0 mmol/L
HDL Cholesterol (mmol/L) Higher HDL is protective (negative points). Target: >1.0 men · >1.3 women
📌 Bands: >1.6 (−2 pts) · 1.3–1.6 (−1) · 1.2–1.3 (0) · 0.9–1.2 (+1) · <0.9 (+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. Cessation removes all points instantly.
Known ASCVD / previous cardiovascular event? Prior MI, stroke, TIA, PCI, CABG, or diagnosed coronary / peripheral artery disease
South Asian / Indian ethnicity? Applies mandatory 1.4× ethnic multiplier. SA populations develop CVD 5–10 years earlier at lower BMI — FRS underestimates absolute risk without correction (QRISK3 basis).
Family history of premature CVD? First-degree relative (parent, sibling, child) with MI/stroke before age 55 (men) or 65 (women). Doubles the final risk %.
Waist Circumference (cm) (optional) Adds +1 pt if abdominal obesity at IDF South Asian cutoffs (♂ ≥90 cm · ♀ ≥80 cm), independent of BMI
📌 IDF South Asian — ♂: ≥90 cm = +1 pt · ♀: ≥80 cm = +1 pt

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

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

WANT MORE?

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EVIDENCE BASE

FRS 2008D'Agostino et al., Circulation
PREDIMED 2013MedDiet, 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 tool estimates 10-year CVD probability based on population-level epidemiological data. It does not constitute a diagnosis or a substitute for clinical judgment. All therapeutic decisions must be based on full lipid panel, comprehensive patient history, physical examination, and physician assessment. LDL-C and pharmacotherapy recommendations align with CCS 2017 and ACC/AHA 2019 guidelines. Designed for use by healthcare professionals and informed adults aged 25–79.