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Cardiac Risk

Cardiac Risk Calculator.

Estimate your 10-year ASCVD and Framingham risk with South Asian-aware calibration. Educational tool — not a diagnosis.

By Dr. Amit Singh, MD, DM, FACC, Consultant Interventional Cardiologist

Clinically reviewed

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Frequently Asked Questions

Clear answers about cardiac risk calculation, SCORE2, Framingham, and what your results mean.

How does the SCORE2 algorithm differ from Framingham?

SCORE2 (ESC 2021) estimates 10-year risk of both fatal and non-fatal cardiovascular events (heart attack, stroke) and is calibrated by risk region — India is classified as high-risk. Framingham estimates only hard coronary heart disease events. SCORE2 applies a validated South Asian calibration factor (1.35×) making it more accurate for Indian populations.

Why is a South Asian calibration factor needed?

People of Indian ancestry develop cardiovascular disease 5–10 years earlier than Western populations, with higher rates of premature heart attacks and multi-vessel disease. Standard risk equations underestimate risk in South Asians. This calculator applies a 1.35× multiplier based on published calibration data for high-risk regions.

What do the risk categories mean for my health?

Your risk category determines clinical action: Low Risk (<5%) — maintain lifestyle, reassess in 5 years. Moderate Risk (5–10%) — optimise lifestyle, consider statin if LDL elevated. High Risk (10–20%) — statin strongly recommended, target LDL <70 mg/dL. Very High Risk (>20%) — aggressive lipid-lowering with statin + ezetimibe, target LDL <55 mg/dL.

Sources: 2021 ESC cardiovascular prevention guidelines and the Framingham general cardiovascular risk profile study.

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