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The Framingham risk score states you are high risk if your 10 year risk is > 20% for a cardiovascular event.
I have been told that means you have a 2% risk each year.
After 10 years it adds up to 20%.
However, when you flip a coin you have 50% chance every time you flip.
What FRS is stating is that 2% of the people will have an event each year. By the end of 10 years you add up all the 2% to make 20%. After 50 years 100% of the high risk people will be dead?
I have been told that subclinical atherosclerosis has a 1 to 2% risk each year?
Thus it is 10 to 20 % over 10 years and lifetime risk will continue to go up.
It seems to me we need to find this people with CAC and CIMT.