A set of criteria for the diagnosis of congestive heart failure was proposed in the Framingham Study.
Criteria for the definite diagnosis of congestive heart failure:
(1) concurrent presence of 2 major, OR
(2) concurrent presence of 1 major and 2 minor criteria
(1) paroxysmal nocturnal dyspnea or orthopnea
(3) acute pulmonary edema
(4) S3 gallop
(5) increased venous pressure > 16 cm of water
(6) circulation time > 25 seconds
(7) hepatojugular reflux
Either major or minor:
(1) weight loss > 4.5 kilograms in 5 days in response to treatment
(1) ankle edema
(2) night cough
(3) dyspnea on exertion
(5) pleural effusion
(6) vital capacity decreased one third from maximum
(7) tachycardia with heart rate > 120 beats per minute
• 1 cm H2O = 0.736 mm Hg (10 / 13.6)
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Purpose: To diagnose congestive heart failure in a patient based on the presence of specific major and minor criteria.
Objective: imaging studies, laboratory tests, criteria for diagnosis