Framingham risk score, plz help

[bogiakhungbo]

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Hi there, i am new member to this forum, wanna say hello to all of you.
I found the FRAMINGHAM RISK SCORE ( FRS ) and seems that it is used by lot of cardiologists, eps in USA, but i get confused a lil bit :

1. Everybody talk about FRS but here is the FRS profile:
http://www.framinghamheartstudy.org/risk/index.html

Lot of scores... Which is the most popular ?

2. I see two risk:
Coronary heart disease ( 10 year risk ) http://www.framinghamheartstudy.org/risk/coronary.html
Hard coronay heart disease ( 10 year risk ) http://www.framinghamheartstudy.org/risk/coronary.html

What is " hard " mean ? Are the 2 tables different ? Which do you prefer ?

3. I get confused to calculate in CHD 10 year risk, really...
For example : step 1

Years LDL Pts Chol Pts
30-34 -1 [-1]
35-39 0 [0]
40-44 1 [1]

what is LDL Pts and Chol Pts ? Do we sum 2 of it for age ?
If i 30 years old, my point will be -2 or -1 ?

Step 7 (sum from Steps 1-6)
Adding up the points
Age
LDL-C or Chol
HDL-C
Blood Pressure
Diabetes
Smoker
Point total

we calculate LDL pts and Chol pts seperately or both of them ?

Step 8 (determine CHD risk from point total)
and then... they seperate the result for LDL pts and Chol pts.

If my total LDL pts is 7 -> risk is 14%
If my total chol pts is 7 -> risk is 13%
so at last, which is my result ?

OMG... i really get confused but dont find anywhere to show me unless some websites supply calculator.

Thanx for ur attention !

 

[fhldoc]

commonly used framingham risk score is to predict 10 yr risk of cardiovascular disease in general. Formula is available online and in many apps like medscape where u enter age/gender/ LDL/ HDL/ BP/ smoking etc and it gives you a percentage- risk of developing cardiovascular dis in next 10 yrs.

 

[sydneyc]

Hey, does anyone know exactly what we are supposed to do with the score? Obviously, it'll tell us the 10 year risk for CVD for the patient given the risk factors. And we as practitioners will encourage patients to have lifestyle modifications, possibly start statins, tell them stop smoking, lose weight, get their diabetes under better control. But what else? Once patients begin doing all that, their score possibly will drop in one year.

While it is nice it's a risk predictor, it does not guide us towards treatment or interventions, correct? Or do I have this all wrong? What else can I do with this score?

 

[halito1]

FRS Score places pts. In low intermediate and high risk categories. Some pathways/ guidelines do refer to these categories to direct treatment pathways.