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  • Framingham Criteria For CHF

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    Fibrianti Ratna Sari
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    This document outlines the Framingham criteria for diagnosing congestive heart failure (CHF). It lists the major criteria which include symptoms like paroxysmal nocturnal dyspnea, neck vein distention, and radiographic cardiomegaly. It also lists minor criteria such as bilateral ankle edema, nocturnal cough, and tachycardia. The clinical criteria for diagnosing CHF are either 2 major criteria or 1 major criterion and 2 minor criteria, as long as the minor criteria cannot be attributed to another medical condition. The Framingham criteria are reported to be 100% sensitive and 78% specific for identifying CHF.

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    Framingham Criteria for CHF

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    This document outlines the Framingham criteria for diagnosing congestive heart failure (CHF). It lists the major criteria which include symptoms like paroxysmal nocturnal dyspnea, neck vein distention, and radiographic cardiomegaly. It also lists minor criteria such as bilateral ankle edema, nocturnal cough, and tachycardia. The clinical criteria for diagnosing CHF are either 2 major criteria or 1 major criterion and 2 minor criteria, as long as the minor criteria cannot be attributed to another medical condition. The Framingham criteria are reported to be 100% sensitive and 78% specific for identifying CHF.

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    68 views2 pages

    Framingham Criteria For CHF

    Uploaded by

    Fibrianti Ratna Sari
    This document outlines the Framingham criteria for diagnosing congestive heart failure (CHF). It lists the major criteria which include symptoms like paroxysmal nocturnal dyspnea, neck vein distention, and radiographic cardiomegaly. It also lists minor criteria such as bilateral ankle edema, nocturnal cough, and tachycardia. The clinical criteria for diagnosing CHF are either 2 major criteria or 1 major criterion and 2 minor criteria, as long as the minor criteria cannot be attributed to another medical condition. The Framingham criteria are reported to be 100% sensitive and 78% specific for identifying CHF.

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    © All Rights Reserved
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    of 2

    Name/Sex/Age

    Date
    :
    MR #
    :

    Department of:
    Name/Sex/Age
    Date
    :
    MR #
    :

    Framingham Criteria for Congestive Heart


    Failure (CHF)

    Emergency Medicine RSUD SUMBAWA

    Framingham Criteria for Congestive Heart


    Failure (CHF)

    Major criteria
    Major criteria

    Paroxysmal nocturnal dyspnea


    Neck vein distention
    Rales

    Radiographic cardiomegaly (increasing heart size on chest


    radiography)
    Acute pulmonary edema
    S3 gallop
    Increased central venous pressure (>16 cm H2O at right atrium)
    Hepatojugular reflux
    Weight loss >4.5 kg in 5 days in response to treatment

    Minor Criteria

    Bilateral ankle edema


    Nocturnal cough
    Dyspnea on ordinary exertion
    Hepatomegaly
    Pleural effusion
    Decrease in vital capacity by one third from maximum recorded
    Tachycardia (heart rate>120 beats/min)

    Paroxysmal nocturnal dyspnea


    Neck vein distention
    Rales

    Radiographic cardiomegaly (increasing heart size on chest


    radiography)
    Acute pulmonary edema
    S3 gallop
    Increased central venous pressure (>16 cm H2O at right atrium)
    Hepatojugular reflux
    Weight loss >4.5 kg in 5 days in response to treatment

    Minor Criteria

    Clinical criteria for CHF:


    2 major criteria, or
    1 major and 2 minor criteria
    - Minor criteria are acceptable only if they can not be attributed to another medical
    condition (such as pulmonary hypertension, chronic lung disease, cirrhosis, ascites,
    or the nephrotic syndrome).
    - The Framingham Heart Study criteria are 100% sensitive and 78% specific for
    identifying persons with definite congestive heart failure.

    Bilateral ankle edema


    Nocturnal cough
    Dyspnea on ordinary exertion
    Hepatomegaly
    Pleural effusion
    Decrease in vital capacity by one third from maximum recorded
    Tachycardia (heart rate>120 beats/min)

    Clinical criteria for CHF:


    2 major criteria, or
    1 major and 2 minor criteria
    - Minor criteria are acceptable only if they can not be attributed to another medical
    condition (such as pulmonary hypertension, chronic lung disease, cirrhosis, ascites,
    or the nephrotic syndrome).
    - The Framingham Heart Study criteria are 100% sensitive and 78% specific for
    identifying persons with definite congestive heart failure.

    Department of Emergency Medicine RSUD SUMBAWA

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