Framingham Criteria | CHF Signs Symptoms | Medical Algorithm

Is the patient being evaluated for possible congestive heart failure?

Yes

Venous pressure

Circulation time

seconds

Body weight before starting therapy

Body weight 5 days after starting therapy

Percent decrease in vital capacity from maximum (enter from 0 to 100)

percent

Heart rate

beats per minute

Does the patient show any of the following?

• paroxysmal nocturnal dyspnea or orthopnea?

Yes

• night cough?

Yes

• dyspnea on exertion?

Yes

• rales?

Yes

• acute pulmonary edema?

Yes

• pleural effusion?

Yes

• neck vein distention?

Yes

• hepatojugular reflux?

Yes

• hepatomegaly?

Yes

• cardiomegaly?

Yes

• S3 gallop?

Yes

• ankle edema?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of major criteria present

Number of minor criteria present

Is the weight loss criteria present? (either major or minor criteria as needed)

Does the patient meet the Framingham criteria for congestive heart failure?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- High-Output Heart Failure Associated with Arteriovenous Fistula, Hemangioma or Other Vascular Malformation
- Criteria for Distinguishing Acute Heart Failure from COPD or Asthma in Dyspneic Patient
Failure Handling, When To Refer
- Indications for Referral of Patient with Heart Failure to Cardiologist
- Recommended Triage Times for Patient with Heart Failure

Therapy

Options
- Treatment Outcome - B-Type Natriuretic Peptide - (BNP) and Severe Congestive Heart Failure (CHF)
Selection
Failure Handling And Therapy Escalation
Prevention
- Predicting Risk of Heart Failure in Framingham Study
- Two Minute Assessment of Hemodynamic Profile for Patient with Possible Heart Failure

Monitoring

Response To Therapy
Drug Levels
- Boston Criteria for Diagnosis Congestive Heart Failure
Complication Detection
Comorbid Conditions

Patient Concerns

Disability And Performance
- Cognitive Dysfunction in Heart Failure
Quality Of Life
- Cognitive Dysfunction in Heart Failure
- Discharge Criteria for Patient Hospitalized for Heart Failure
End-of-life, Palliative Care
- Criteria for Inotrope Dependence | Refractory End-Stage Heart Failure
- Prognostic Factors for Ambulatory Patient w/ Chronic Congestive Heart Failure

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Framingham Criteria for Diagnosis of Congestive Heart Failure

Purpose: To diagnose congestive heart failure in a patient based on the presence of specific major and minor criteria.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10