It is used to estimate the risk of heart attacks in adults older than 20. Peripheral arterial disease, intermittent claudication and significant limb ischemia. Because the primary use of these risk estimates is to facilitate the very important discussion regarding risk reduction through lifestyle change, the imprecision introduced is who cardiovascular risk calculator enough to justify proceeding with lifestyle change counseling informed by these results. Medications to reduce ASCVD risk should only be considered part of a shared decision-making process for optimal treatment when a patient’s risk is sufficiently high. Follow up risk incorporates change in risk factor levels over time and requires both initial and follow up values. Using the app or the risk calculator with patients will help healthcare practitioners to better illustrate the risk of cardiovascular disease and the gains that can be made from interventions such as reducing blood pressure, or stopping smoking. The current version of the Framingham Risk Score was published in 2008.