Download our Spreadsheet-based 10-year Risk Assessment Tool

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 care. The ATP III Executive Summary is available online.

Instructions for downloading and using the 10-year risk assessment spreadsheet:

  • Download the zip file image of zip file.
    Note: zip files require WinZip.
  • 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 spreadsheet.
  • 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 entered.

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 NIH.

Last Updated May 2013

Skip footer links and go to content
Twitter iconTwitterExternal link Disclaimer         Facebook iconFacebookimage of external link icon         YouTube iconYouTubeimage of external link icon         Google+ iconGoogle+image of external link icon