timeperiod age male cigarettes smoker family_hx diabetes lvh simd systolic_bp total_chol

10 55 0 10 1 0 1 0 20 150 5
hdl_chol CHD MI STROKE CVD CHD_DEATH CVD_DEATH
1 25.63764171 18.97269736 8.795830336 40.84159573 7.424934777 7.740788286
BNF ASSIGN
34.43347205 29.04187512
Excel worksheet for calculating cardiovascular risk
Written by Dr Rupert Payne, The University of Edinburgh, May 2010
This calculator has been published with the hope that it will be useful, but without warranty, implied or explicit, of fitness for a p
The author will not accept responsibility for any injury, damages or other outcomes arising as a result, direct or indirect, of usin
Further advice on the appropriate use of the risk equations can be found at http://cvrisk.mvm.ed.ac.uk/help.htm
The Framingham and ASSIGN equations are in the public domain. You are free to modify or distribute this file as you wish, alth

NOTES on how to use the worksheet:

Simply copy the blue cells in row 2 to allow calculations of risk for more than one individual
It is expected that individuals using this worksheet should have sufficient technical know-how to make it work - please do not c

There is NO error checking - blanks will be treated as value 0 and extreme values will be accepted
The BNF calculation is simply the sum of CHD and stroke. Values will therefore be influenced by diabetes and LVH which are n
Although all calculations take into account smoking, note that ASSIGN uses a different variable (cigarettes) to Framingham/BN

A single row provided as an example:

Risk calculated over 10 years for a 55 year old female diabetic smoker (10 cigarettes daily), with systolic BP 150mmHg, total c

The following variables are used for calculating risk:

timeperiod Time in years over which risk is calculated. Usually set to 10, appropriate range is 4 to 12 years. Does n
age Patient age in years (try to limit to 35 to 75 years).
male Patient sex: male=1, female=0
cigarettes Number of cigarettes smoked per day. Affects ASSIGN score only.
smoker Smoking status: smoker=1, non-smoker=0. Does not affect ASSIGN score.
family_hx Family history of premature cardiovascular disease: yes=1, no=0. Affects ASSIGN score only.
diabetes Presence of diabetes: yes=1, no=0
lvh Presence of left ventricular hypertrophy on ECG: yes=1, no=0. Does not affect ASSIGN score.
simd Scottish index of multiple deprivation. Usual range is 0.53 to 87.7. 20 is a reasonable default when unkn
systolic_bp Systolic blood pressure in mmHg
total_chol Total cholesterol in mmol/L
hdl_chol HDL cholesterol in mmol/L

The following outcomes are calculated:

CHD Coronary heart disease. Calculated using Framingham equation.
MI Myocardial infarction. Calculated using Framingham equation.
STROKE Stroke. Calculated using Framingham equation.
CVD Cardiovascular disease. Calculated using Framingham equation.
CHD_DEATH Death from coronary heart disease. Calculated using Framingham equation.
CVD_DEATH Death from cardiovascular disease. Calculated using Framingham equation.
BNF BNF/JBS2 calculation of cardiovascular disease. Equals the sum of CHD and STROKE from Framingha
ASSIGN Cardiovascular disease. Calculated using ASSIGN equation.
, implied or explicit, of fitness for a particular purpose.
as a result, direct or indirect, of using this calculator.
vm.ed.ac.uk/help.htm
or distribute this file as you wish, although credit is always appreciated!

ow to make it work - please do not contact me for technical advice!

ced by diabetes and LVH which are not taken into account by standard BNF charts
iable (cigarettes) to Framingham/BNF (smoker) - it is important to ensure cigarettes and smoker are consistent with one another

), with systolic BP 150mmHg, total cholesterol 5mmol/l, HDL 1mmol/l, living in an area with SIMD deprivation score 20

priate range is 4 to 12 years. Does not affect ASSIGN calculation (which is always 10 years).

ffects ASSIGN score only.

s not affect ASSIGN score.

20 is a reasonable default when unknown. Affects ASSIGN score only.

CHD and STROKE from Framingham equation.

nsistent with one another

ation score 20