Risk calculators like the Framingham Risk Score have long been a cornerstone of cardiovascular medicine, estimating your chances of a heart attack or stroke over the next 10 years. But here's the problem: cardiovascular disease (CVD) is a slow, silent process that often begins in your teens and unfolds over decades. Limiting the assessment to just 10 years is far too narrow to fully capture the long-term damage accumulating in your arteries over a lifetime.