Framingham CHF Criteria


1.Paroxysmal Nocturnal Dyspnea?
2.Neck Vein Distention?
4.Radiographic Cardiomegaly?
5.Acute Pulmonary Edema?
6.S3 Gallop?
7.Increased Central Venous Pressure (>16cm H20)?
8.Hepatojugular Reflux?
9.Weight Loss >9.90lbs or >4.5kg in 5 Days in Response to Treatment?
10.Bilateral Ankle Edema?
11.Nocturnal Cough?
12.Dyspnea on Ordinary Exertion?
14.Pleural Effusion?
15.Decrease in Vital Capacity by 1/3 from Maximum Recorded?
16.Tachycardia (Heart Rate >120 bpm)?


The Framingham Heart Study criteria are 100% sensitive and 78% specific for identifying patients with congestive heart failure. Minor criteria are acceptable only if they cannot be attributed to another medical condition.


McKee PA, Castelli WP, McNamara PM, Kannel WB.

The natural history of congestive heart failure: the Framingham study.

New England Journal of Medicine 1971 December 23, 285 (26): 1441-6

The Framingham CHF Criteria calculator is created by QxMD.

Created by on 01/09/2015

By using this site you acknowledge that you have read, understand, and agree to be bound by our terms of use and privacy policy. All content and tools are for educational use only, are not meant to be a substitute for professional advice and should not be used for medical diagnosis and/or medical treatment.

1. Paroxysmal Nocturnal Dyspnea?

0/16 completed