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Framingham Heart Failure Diagnostic Criteria
Dec 21, 2024
•
Mark Morgan
categories:
cardiology
This is a cardiology decision tool.
Framingham Heart Failure Diagnostic Criteria
------------------------------------------------------------
Major Criteria (CHF diagnosis requires 1 or more positive)
A. Acute pulmonary edema --->
no
yes
B. Cardiomegaly --->
no
yes
C. Hepatojugular reflex --->
no
yes
D. Neck vein distention --->
no
yes
E. Paroxysmal nocturnal Dyspnea or Orthopnea --->
no
yes
F. Pulmonary rales --->
no
yes
G. Third Heart Sound (S3 Gallup Rhythm) --->
no
yes
Minor Criteria (CHF diagnosis requires 2 or more positive)
A. Ankle edema --->
no
yes
B. Dyspnea on exertion --->
no
yes
C. Hepatomegaly --->
no
yes
D. Nocturnal cough --->
no
yes
E. Pleural Effusion --->
no
yes
F. Tachycardia (Heart Rate >120 beats per minute) --->
no
yes
------------------------------------------------------------
Interpretation:
score interpretation
score=(tachycardia)+(pleural_effusion)+(nocturnal_cough)+(hepatomegaly)+(dyspnea)+(ankle)+(third_sound)+(rales)+(orthopnea)+(neck_vein)+(hepatojugular)+(cardiomegaly)+(acute_pulmonary); score>71?'meets Framingham criteria for CHF':score>69?'does not meet Framingham criteria for CHF':score>61?'meets Framingham criteria for CHF':score>59?'does not meet Framingham criteria for CHF':score>51?'meets Framingham criteria for CHF':score>49?'does not meet Framingham criteria for CHF':score>41?'meets Framingham criteria for CHF':score>39?'does not meet Framingham criteria for CHF':score>31?'meets Framingham criteria for CHF':score>29?'does not meet Framingham criteria for CHF':score>21?'meets Framingham criteria for CHF':score>19?'does not meet Framingham criteria for CHF':score>11?'meets Framingham criteria for CHF':'does not meet Framingham criteria for CHF'
display/hide references
#1
Maestre (2009) J Eval Clin Pract 15:55
#2
FP Notebook page
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