, Volume 25, Issue 11, pp 1140-1141,
Open Access This content is freely available online to anyone, anywhere at any time.
Date: 10 Aug 2010

Assessing Coronary Risk Assessment: What's Next?

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One of the most important findings to come out of the landmark Framingham Heart Study was the development of tools to predict patients’ risk of developing coronary artery disease (CHD).1 By analyzing data across multiple CHD risk factor categories derived from this prospective cohort, it became possible to predict patients’ 10-year risk for CHD; the prediction model was based on a set of parameter estimates for each risk factor and combinations of risk factors.2 Wilson et al. recognized if physicians were to use these tools for clinical decision-making that they needed to be quick and easy to use. In 1998, they published the sex-specific Framingham Risk Scoring (FRS) system.3 FRS involved converting the parameter estimates from the original prediction model into whole numbers (points) that could then be summed and converted into a 10-year risk. Scoring algorithms using these points are available in print, online and through hand-held electronic devices. Use of FRS point scoring was pro