Framingham_Heart_Failure_Diagnostic_Criteria_guideline v.1

Framingham Heart Failure Diagnostic Criteria diagnoses heart failure based on major and minor criteria.

Maryam Razavi

maryam.razavi2009@gmail.com

@CambioCDS

To diagnoses heart failure based on major and minor criteria.

To use in patients with signs and symptoms of heart failure (HF). Framingham Heart Failure Diagnostic Criteria formula: Diagnosis of HF requires 2 major criteria OR 1 major and 2 minor criteria: Major criteria: Acute pulmonary edema, Cardiomegaly, Hepatojugular reflux, Neck vein distention, Paroxysmal nocturnal dyspnea or orthopnea, Rales, Third heart sound (S3 gallop rhythm), Increased venous pressure>16 cm H2O , Weight loss >4.5 kg in 5 days in response to treatment. Minor criteria: Ankle edema, Dyspnea on exertion, Hepatomegaly, Nocturnal cough, Pleural effusion, Tachycardia (HR >120), Decreased in Vital Capacity by 1/3 Max recorded.

Minor criteria cannot be selected if they can be explained by another comorbidity, e.g. dyspnea on exertion secondary to chronic obstructive pulmonary disease.

1. McKee PA, Castelli WP, McNamara PM, Kannel WB. The natural history of congestive heart failure: the Framingham study. N Engl J Med. 1971 Dec 23;285(26):1441-6.

OBSERVATION.framingham_heart_failure_diagnostic_criteria.v0