From the Strong Heart Study

Calculator: Estimated Risk of Developing CHD in 10 Years

The risk calculator below uses research data from the Strong Heart Study (Citation: Circulation 2006; 113; 2897 – 2905) to estimate a person’s chance of having CHD (Coronary Heart Disease) in the next 10 years. It is designed for the American Indians of age 30 and older. To find your estimated risk, enter your information in the calculator below. Definitions and descriptions of some terms in the calculator are provided.

! Important note: Some browsers with security controls may block this ActiveX control application. When they do, a yellow information bar showing the message “To protect your security…” will appear right under the address bar. To use this calculator properly, you must remove the block by clicking the yellow bar and select “Allow Blocked Content…”.

Prediction using (select one)	LDL-C and HDL-C TC and HDL-C
Gender	Male Female
Age
Are you currently on Hypertension medicine?	No Yes
Systolic Blood Pressure (SBP)
LDL-C or TC (mg/dL)
HDL-C (mg/dL)
Do you have diabetes?	No Yes
Are you a current smoker?	No Yes
Do you have microalbuminuria?	No Yes
Do you have macroalbuminuria?	No Yes
Your Estimated Risk:		%

Definitions and Descriptions

· LDL-C

Low Density Lipoproteins Cholesterol. Sometimes it is referred to as the "bad" cholesterol. High levels of LDL-C are a risk factor for heart disease.

LDL-C (bad cholesterol) level
Less than 100 mg/dL	Optimal
100-129 mg/dL	Near optimal/above optimal
130-159 mg/dL	Borderline high
160-189 mg/dL	High
190 mg/dL or higher	Very high
Source: National Cholesterol Education Program (NCEP)

· HDL-C

High Density Lipoproteins Cholesterol. Sometimes it is referred to as the "good" cholesterol. Higher levels of HDL in the blood seem to protect against heart disease.

HDL-C (good cholesterol) level
60 mg/dL or higher	High
Less than 40 mg/dL	Low
Source: National Cholesterol Education Program (NCEP)

· TC

The total amount of all cholesterol in your blood. The higher a person's total cholesterol, the greater a person's risk for heart disease.

TC (total cholesterol) level
Less than 200 mg/dL	Desirable
200-239 mg/dL	Borderline high
240 mg/dL or higher	High
Source: National Cholesterol Education Program (NCEP)

· Systolic Blood Pressure (SBP)

Blood pressure readings are usually given as 2 numbers: for example, 110 over 70 (written as 110/70). The first number is the systolic blood pressure reading, and it represents the maximum pressure exerted when the heart contracts. The second number is the diastolic blood pressure reading, and it represents the pressure in the arteries when the heart is at rest. SBP is measured by mm Hg (millimeters of mercury).

SBP (Systolic Blood Pressure) Level
Less than 120 mmHg	Normal
140 mmHg or higher	High
Source: Seventh Joint National Committee on Hypertension (JNC-VII)

· Microalbuminuria and Macroalbuminuria

Microalbuminuria and macroalbuminuria are problems of the kidney, meaning mildly and moderately to severely increased leakage of protein into the urine. Both are estimated by the urinary albumin – urinary creatinine ratio (ACRATIO).

Macroalbuminuria	ACRATIO ³ 300 mg/g
Microalbuminuria	ACRATIO 30 – 299 mg/g
Normal	ACRATIO < 30 mg/g

· Your Estimated Risk: This percentage indicates the chance of you developing CHD in 10 years. For example, if your estimated risk is 20%, it means that 20 out of the 100 people who enter the exact same information as you did in the calculator would likely develop CHD in 10 years.