Clinical Resources

MESA CHD Risk Calculator

10-Year Risk with Coronary Artery Calcium Score

yr (45-85)
mg/dL
mg/dL
mmHg
Agatston (optional)

Results

10-Year CHD Risk (without CAC)
10-Year CHD Risk (with CAC)
CAC Interpretation

Notes

  • The MESA 10-Year CHD Risk Calculator uses a Cox proportional hazards model derived from the Multi-Ethnic Study of Atherosclerosis cohort.
  • CHD events include myocardial infarction, resuscitated cardiac arrest, CHD death, and angina followed by revascularization.
  • The CAC score provides incremental prognostic value beyond traditional risk factors. A CAC of 0 is associated with very low short-term event rates.
  • Validated for ages 45-85 in White, Chinese American, African American, and Hispanic populations.
  • Risk categories: Low (<7.5%), Borderline/Intermediate (7.5-20%), High (>20%).

Reference: McClelland RL, Jorgensen NW, Budoff M, et al. 10-Year Coronary Heart Disease Risk Prediction Using Coronary Artery Calcium and Traditional Risk Factors. J Am Coll Cardiol. 2015;66(15):1643-1653.