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180 160 140 120 WOMEN SCORE Cardiovascular Risk Chart 10-year risk of fatal CVD Low-risk regions of Europe MEN Total cholesterol (mmol/L) Age 70 65 60 55 50 Non-smoker Smoker 9 5 5 4 4 5 5 40 4 <3% 5 6 7 4 5 6 7 Systolic blood pressure (mmHg) 7 8 8 6 6 7 7 6 6 13 7 8 6 6 7 7 11 11 12 9 9 10 11 8 9 180 160 140 120 5 2 3 2 2 2 2 4 4 5 3 3 4 4 3 3 9 4 4 3 3 3 4 7 7 8 5 6 6 7 5 5 180 160 140 120 3 1 1 1 1 1 1 2 3 3 2 2 2 2 1 2 6 2 2 2 2 2 2 4 5 5 3 3 4 4 3 3 180 160 140 120 2 1 1 0 0 0 1 1 1 2 1 1 1 1 1 1 4 1 1 1 1 1 1 3 3 3 2 2 2 3 1 2 180 160 140 120 1 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 3 1 1 0 0 0 1 2 2 2 1 1 1 2 1 1 180 160 140 120 0 0 0 3–4% 5–9% ≥10% 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 0 0 Non-smoker Smoker 17 8 9 7 8 9 10 4 5 6 7 4 5 6 7 12 14 15 10 11 13 14 10 12 24 12 13 10 11 12 14 18 20 22 15 16 18 20 15 17 12 5 5 3 4 5 5 8 9 10 6 7 8 9 6 7 18 7 8 5 6 7 8 12 14 16 9 11 12 14 9 11 8 3 3 2 2 2 3 5 6 7 4 4 5 5 3 4 13 4 5 3 4 4 5 8 10 11 6 7 8 9 6 7 5 1 2 1 1 1 2 3 4 4 2 2 3 3 2 2 9 3 3 2 2 2 3 6 7 8 4 4 5 6 3 4 3 1 1 0 1 1 1 2 2 3 1 1 2 2 1 1 6 1 2 1 1 1 2 4 5 5 2 3 3 4 2 3 1 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 3 1 1 0 0 0 2 2 3 1 1 1 2 1 1 0 1 ©ESC 2020 Figure 3b SCORE chart for European populations at low cardiovascular disease (CVD) risk. The 10-year risk of fatal CVD in populations at low 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 non-fatal) 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 = 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 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