Download our Spreadsheet-based 10-year Risk
This downloadable Excel spreadsheet, developed by Boston
University, uses recent data from the Framingham Heart Study to estimate
10-year risk for "hard" coronary heart disease outcomes (myocardial infarction
and coronary death) in adults who do not have heart disease or diabetes.
Determining 10-year (short term) risk for developing CHD is
carried out using Framingham risk scoring. The risk factors included in the
Framingham calculation are age, total cholesterol, HDL cholesterol, systolic
blood pressure, treatment for hypertension, and cigarette smoking. Because of a
larger database, Framingham estimates are more robust for total cholesterol
than for LDL cholesterol. Note, however, that LDL cholesterol remains the
primary target of therapy.
It is recommended that the clinician be thoroughly familiar
with the ATP III Guidelines prior to using this spreadsheet tool in patient
ATP III Executive Summary is available online.
Instructions for downloading and using the 10-year risk
- Download the zip file
Note: zip files require
- For MAC OS users download the BinHex
encoded self-extracting archive (Stuffit) RISK.SEA.HQX.
- When prompted, select the folder on your computer that you
want to save the self-extracting file to.
- Double click on the Zip file after it is saved to your
computer. It will automatically extract an Excel 2000 version of the
- The Excel file is an older Excel format (Excel 2000) and may
take a few moments to install and load.
- NOTE: You may receive a warning message that the spreadsheet
you are opening contains macros and that some macros may contain harmful
viruses. This spreadsheet has been tested and does not contain any macro
viruses. The macros it contains are not required to use the risk assessment
calculator. Therefore you may choose to enable or disable the macros.
- Launch Excel (or a compatible spreadsheet application) and
open the appropriate version of the spreadsheet.
- Enter values for all risk factors (i.e., gender, age, total
cholesterol, HDL cholesterol, Systolic Blood Pressure, etc.) and the
spreadsheet will provide a risk assessment score based on the risk factors
Email your comments, questions, issues and suggestions regarding
this spreadsheet to the NHLBI Health Information Network at
This spreadsheet is made available as part of the
educational mission of the National Cholesterol Education Program of the
National Institutes of Health (NIH) National Heart, Lung, and Blood Institute.
It may be freely distributed without further permission. However, we request
that you cite NHLBI as the source when referencing this program. If any changes
are made to the program or information contained in the program, this fact
should be clearly stated. In addition, the program and links should not be used
in any direct or indirect product endorsement. Use of this program does not
constitute endorsement of any commercial software products by the NHLBI or