Framingham Heart Failure Diagnostic Criteria

Cardiovascular
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Framingham Heart Failure Diagnostic Criteria
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Major Criteria (CHF diagnosis requires 1 or more positive)
A. Acute pulmonary edema ---> [select name="acute_pulmonary" value="no=0|yes=10"]
B. Cardiomegaly ---> [select name="cardiomegaly" value="no=0|yes=10"]
C. Hepatojugular reflex ---> [select name="hepatojugular" value="no=0|yes=10"]
D. Neck vein distention ---> [select name="neck_vein" value="no=0|yes=10"]
E. Paroxysmal nocturnal Dyspnea or Orthopnea ---> [select name="orthopnea" value="no=0|yes=10"]
F. Pulmonary rales ---> [select name="rales" value="no=0|yes=10"]
G. Third Heart Sound (S3 Gallup Rhythm) ---> [select name="third_sound" value="no=0|yes=10"]
Minor Criteria (CHF diagnosis requires 2 or more positive)
A. Ankle edema ---> [select name="ankle" value="no=0|yes=1"]
B. Dyspnea on exertion ---> [select name="dyspnea" value="no=0|yes=1"]
C. Hepatomegaly ---> [select name="hepatomegaly" value="no=0|yes=1"]
D. Nocturnal cough ---> [select name="nocturnal_cough" value="no=0|yes=1"]
E. Pleural Effusion ---> [select name="pleural_effusion" value="no=0|yes=1"]
F. Tachycardia (Heart Rate >120 beats per minute) ---> [select name="tachycardia" value="no=0|yes=1"]
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Interpretation: [calc value="score=(tachycardia)+(pleural_effusion)+(nocturnal_cough)+(hepatomegaly)+(dyspnea)+(ankle)+(third_sound)+(rales)+(orthopnea)+(neck_vein)+(hepatojugular)+(cardiomegaly)+(acute_pulmonary); score>71?'meets Framingham criteria for CHF':score>69?'does not meet Framingham criteria for CHF':score>61?'meets Framingham criteria for CHF':score>59?'does not meet Framingham criteria for CHF':score>51?'meets Framingham criteria for CHF':score>49?'does not meet Framingham criteria for CHF':score>41?'meets Framingham criteria for CHF':score>39?'does not meet Framingham criteria for CHF':score>31?'meets Framingham criteria for CHF':score>29?'does not meet Framingham criteria for CHF':score>21?'meets Framingham criteria for CHF':score>19?'does not meet Framingham criteria for CHF':score>11?'meets Framingham criteria for CHF':'does not meet Framingham criteria for CHF'" memo="score interpretation"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/19239582" target="_blank">Maestre (2009) J Eval Clin Pract 15:55</a>, <a href="http://www.fpnotebook.com/cv/exam/FrmnghmHrtFlrDgnstcCrtr.htm" target="_blank">FP Notebook page</a>[/html][/conditional]
Framingham Heart Failure Diagnostic Criteria
------------------------------------------------------------
Major Criteria (CHF diagnosis requires 1 or more positive)
A. Acute pulmonary edema --->
B. Cardiomegaly --->
C. Hepatojugular reflex --->
D. Neck vein distention --->
E. Paroxysmal nocturnal Dyspnea or Orthopnea --->
F. Pulmonary rales --->
G. Third Heart Sound (S3 Gallup Rhythm) --->
Minor Criteria (CHF diagnosis requires 2 or more positive)
A. Ankle edema --->
B. Dyspnea on exertion --->
C. Hepatomegaly --->
D. Nocturnal cough --->
E. Pleural Effusion --->
F. Tachycardia (Heart Rate >120 beats per minute) --->
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Interpretation: score interpretationscore=(tachycardia)+(pleural_effusion)+(nocturnal_cough)+(hepatomegaly)+(dyspnea)+(ankle)+(third_sound)+(rales)+(orthopnea)+(neck_vein)+(hepatojugular)+(cardiomegaly)+(acute_pulmonary); score>71?'meets Framingham criteria for CHF':score>69?'does not meet Framingham criteria for CHF':score>61?'meets Framingham criteria for CHF':score>59?'does not meet Framingham criteria for CHF':score>51?'meets Framingham criteria for CHF':score>49?'does not meet Framingham criteria for CHF':score>41?'meets Framingham criteria for CHF':score>39?'does not meet Framingham criteria for CHF':score>31?'meets Framingham criteria for CHF':score>29?'does not meet Framingham criteria for CHF':score>21?'meets Framingham criteria for CHF':score>19?'does not meet Framingham criteria for CHF':score>11?'meets Framingham criteria for CHF':'does not meet Framingham criteria for CHF'

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Result - Copy and paste this output:

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