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SCORE Risk Charts

The European cardiovascular disease risk assessment models


Two new algorithms SCORE2 and SCORE2-OP (older persons) have been published in June 2021:


SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe

SCORE2 working group and ESC Cardiovascular risk collaboration 

European Heart Journal, ehab309, 


SCORE2-OP risk prediction algorithms: estimating incident cardiovascular event risk in older persons in four geographical risk regions

SCORE2-OP working group and ESC Cardiovascular risk collaboration 

European Heart Journal, ehab312, 

The SCORE Charts

Systematic COronary Risk Evaluation (SCORE): high and low cardiovascular risk charts based on gender, age, total cholesterol, systolic blood pressure and smoking status, with relative risk chart, qualifiers and instructions


Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project

European Heart Journal, Volume 24, Issue 11, 1 June 2003, Pages 987–1003,

Download the SCORE charts:

EU Charts - High / Low Risk

Advantages of SCORE

  • Based on a large data set tested thoroughly with European data 
  • Operates with hard, reproducible endpoints (CVD death)
  • Risk of CHD and stroke death can be derived separately
  • Enables the development of an electronic interactive version of the risk chart
  • The SCORE risk function can be calibrated to each country’s national mortality statistics

The SCORE database combines results from:

  • 12 European cohort studies
  • 250,000 patient-data sets
  • 3 million person-years of observation 
  • 7,000 fatal CV events 

SCORE risk charts interactive version

Access HeartScore, the interactive tool based on the SCORE risk charts.

Contact us for more information.

Which charts should I use for my country?

Use the low-risk charts in Andorra, Austria, Belgium,* Cyprus, Denmark, Finland, France, Germany, Greece,* Iceland, Ireland, Israel, Italy, Luxembourg, Malta, Monaco, the Netherlands,* Norway, Portugal, San Marino, Slovenia, Spain,* Sweden,* Switzerland and the United Kingdom of Great Britain and Northern Ireland.

Use the high-risk charts in other European countries. Some are at very high risk: the charts may underestimate risk in those. They include Albania, Algeria, Armenia, Azerbaijan, Belarus, Bulgaria, Egypt, Georgia, Kazakhstan, Kyrgyzstan, Latvia, North Macedonia, Moldova (Republic of), Russian Federation, Syrian Arab Republic, Tajikistan, Turkmenistan, Ukraine and Uzbekistan.

*Updated, recalibrated charts are available for Belgium, Germany, Greece, the Netherlands, Spain, Sweden and Poland.

For more information, please contact your National Cardiac Society.