Framingham CHF Criteria
Questions
1.Paroxysmal Nocturnal Dyspnea?
2.Neck Vein Distention?
3.Rales?
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?
13.Hepatomegaly?
14.Pleural Effusion?
15.Decrease in Vital Capacity by 1/3 from Maximum Recorded?
16.Tachycardia (Heart Rate >120 bpm)?
About
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.
References
McKee PA, Castelli WP, McNamara PM, Kannel WB.
New England Journal of Medicine 1971 December 23, 285 (26): 1441-6
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