Fonarow et al reported using a severity score for heart failure that is used at the University of North Carolina in Chapel Hill.
Parameters:
(1) chest X-ray
(2) rales
(3) peripheral edema
(4) fatigue
(5) dyspnea
|
Parameters |
Finding |
Points |
|
chest X-ray |
no congestion present |
0 |
|
|
congestion present |
1 |
|
rales |
absent |
0 |
|
|
present |
1 |
|
peripheral edema |
absent |
0 |
|
|
present |
1 |
|
fatigue |
absent |
0 |
|
|
present |
2 |
|
dyspnea |
none |
0 |
|
|
unspecified |
1 |
|
|
with moderate activity |
2 |
|
|
with minimal activity |
3 |
|
|
at rest |
4 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the more severe the heart failure.
|
Total Score |
Severity |
|
0 |
absent or subclinical |
|
1, 2, or 3 |
mild |
|
4, 5 or 6 |
moderate |
|
7, 8 or 9 |
severe |
Specialty: Cardiology
ICD-10: ,
