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180 160 140 120 WOMEN SCORE Cardiovascular Risk Chart 10-year risk of fatal CVD High-risk regions of Europe MEN Total cholesterol (mmol/L) Age 70 65 60 55 50 Non-smoker Smoker 15 8 9 7 7 8 9 40 4 <3% 5 6 7 4 5 6 7 Systolic blood pressure (mmHg) 12 13 14 10 11 12 13 10 10 21 12 13 10 10 11 12 17 19 20 14 15 16 18 14 15 180 160 140 120 9 4 4 3 3 4 4 7 8 8 5 6 6 7 5 5 15 7 7 5 5 6 7 11 12 13 9 9 10 11 8 9 180 160 140 120 5 2 2 1 1 2 2 4 4 5 3 3 3 4 2 3 10 4 4 3 3 3 3 7 8 9 5 6 6 7 4 5 180 160 140 120 3 1 1 1 1 1 1 2 2 3 1 2 2 2 1 1 7 2 2 1 1 2 2 5 5 6 3 3 4 4 2 3 180 160 140 120 2 0 0 0 0 0 0 1 1 2 1 1 1 1 1 1 4 1 1 1 1 1 1 3 3 4 2 2 2 3 1 2 180 160 140 120 1 0 0 3–4% 5–9% ≥10% 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 1 1 2 1 1 1 1 0 1 Non-smoker Smoker 33 16 18 13 15 17 20 4 5 6 7 4 5 6 7 24 26 30 20 22 25 28 21 24 45 23 26 19 22 25 28 33 36 40 27 31 34 39 29 33 23 9 11 7 8 10 11 15 17 20 12 14 16 18 12 14 34 14 16 11 13 15 17 23 26 30 18 21 24 27 19 22 15 5 6 4 4 5 6 10 11 13 7 8 10 11 7 8 25 9 10 6 7 9 10 16 19 22 12 14 16 19 12 14 10 3 3 2 2 3 3 6 7 9 4 5 6 7 4 5 18 5 6 4 4 5 6 11 13 16 8 9 11 13 7 9 7 2 2 1 1 1 2 4 5 6 2 3 3 4 2 3 13 3 4 2 2 3 4 8 9 11 5 6 7 9 5 6 3 0 1 0 0 0 1 2 2 2 1 1 1 2 1 1 7 1 1 1 1 1 4 4 5 2 2 3 4 2 2 0 1 ©ESC 2020 Figure 3a SCORE charts for European populations at high cardiovascular disease (CVD) risk109. The 10-year risk of fatal CVD in populations at high CVD risk is based on the following risk factors: age, gender, smoking, systolic blood pressure, and total cholesterol. To convert the risk of fatal CVD to risk of total (fatal þ nonfatal) CVD, multiply by 3 in men and 4 in women, and slightly less in older people. Note: the SCORE chart is for use in people without overt CVD, diabetes (type 1 and 2), chronic kidney disease, familial hypercholesterolaemia, or very high levels of individual risk factors because such people are already at high risk and need intensive risk factor advice. Cholesterol: 1 mmol/L 1⁄4 38.67 mg/dL. The SCORE risk charts presented above differ slightly from those in the 2016 ESC/EAS Guidelines for the management of dyslipidaemias and the 2016 European Guidelines on cardiovascular disease prevention in clinical practice, in that: (i) age has been extended from 65 to 70 years; (ii) the interaction between age and each of the other risk factors has been incorporated, thus reducing the overestimation of risk in older persons in the original SCORE charts; (iii) the cholesterol band of 8 mmol/L has been removed since such persons will qualify for further evaluation in any event. SCORE = Systematic Coronary Risk Evaluation. Downloaded from academic.oup.com/eurheartj/article/42/1/17/5898937 by guest on 07 October 2026