What SCORE2 estimates

SCORE2 estimates the 10-year chance of a non-fatal heart attack, non-fatal stroke or cardiovascular death in eligible people without previous cardiovascular disease. It uses age, sex, current smoking, systolic blood pressure, total and HDL cholesterol, with regional calibration. It is not a percentage of blocked arteries or a lifetime risk.

Why context matters

The original SCORE2 model is for ages 40–69 without previous cardiovascular disease or diabetes. Other models or clinical pathways apply for older adults and some existing conditions. Age strongly affects short-term risk; a lower estimate does not mean no risk. Family history and other risk modifiers can change the clinical interpretation. Our self-service planner uses additional conservative eligibility limits.

A MANAGEABLE NEXT STEP

What you can do today.

  1. Keep the inputs and the date of the estimate, so you can discuss whether they represent your usual health.
  2. Focus on modifiable risks: seek smoking-cessation support if relevant, confirm raised blood pressure, and discuss cholesterol management.
  3. Build appropriate movement and dietary habits. Do not assume that changing an input in a calculator measures the benefit you personally will get.

What to discuss with your doctor.

  • Is this the right model for my health history and location?
  • What factors might change the interpretation of my result?
  • Which changes or treatments would help me, and when should we reassess?

When to seek help.

A risk score is for prevention, not assessment of symptoms. New chest pain, severe breathlessness or sudden weakness needs urgent care regardless of the percentage. Do not start or stop medication based on a score alone.

Sources & context.

  1. SCORE2: original model and eligibility
  2. ESC prevention guidelines: risk assessment and clinical context

Sources checked: 2 October 2026. General adult health education, informed by the linked guidance. Individual circumstances and local recommendations can change what is appropriate. This page is not monitored and does not provide a medical consultation.

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