Framingham Heart Failure Diagnostic Criteria

Clinical Use

Assist diagnosis of heart failure

Information

The Framingham Heart Failure Diagnostic Criteria derived from The Framingham Study conducted in 5192 persons over a 16-year period.

Diagnosis of heart failure 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.
Pulmonary rales.
Third heart sound (S3 gallop rhythm).
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)

 

Test Sensitivity: 97%    Test Specificity: 79%

Reference

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. View Abstract

Disclaimer

We are doing our best to prepare the content of this website. However, Cardiology Connections, Corp cannot warranty the expressions and suggestions of the contents, as well as its accuracy. In addition, to the extent permitted by the law, Cardiology Connections, Corp shall not be responsible for any losses and/or damages due to the usage of the information on our website. The links contained on our website may lead to external sites, which are provided for convenience only. Any information or statements that appeared in these sites are not sponsored, endorsed, or otherwise approved by Cardiology Connections, Corp. For these external sites, Cardiology Connections, Corp cannot be held liable for the availability of, or the content located on or through it. Plus, any losses or damages occurred from using these contents or the internet generally.

Developer: Sirikarn Napan, MD, FACC