{"id":80,"date":"2009-02-27T18:44:28","date_gmt":"2009-02-27T18:44:28","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carfra\/"},"modified":"2025-05-14T20:58:26","modified_gmt":"2025-05-14T20:58:26","slug":"carfra","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/carfra\/","title":{"rendered":"Framingham Criteria for Congestive Heart Failure (CHF)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p class=\"MsoNormal\">Diagnosis of CHF requires the simultaneous presence of at least 2 major criteria or 1 major criterion in conjunction with 2 minor criteria.<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Major criteria: <\/strong><\/p>\n<p><!-- [if !supportLists]--><\/p>\n<ul>\n<li>Paroxysmal nocturnal dyspnea<\/li>\n<li>Neck vein distention<\/li>\n<li>Rales<\/li>\n<li>Radiographic <span class=\"SpellE\">cardiomegaly<\/span> (increasing heart size on chest radiography)<\/li>\n<li>Acute pulmonary edema<\/li>\n<li>S3 gallop<\/li>\n<li>Increased central venous pressure (&gt;16 cm H2O at right atrium)<\/li>\n<li><span class=\"SpellE\">Hepatojugular<\/span> reflux<\/li>\n<li>Weight loss &gt;4.5 kg in 5 days in response to treatment<\/li>\n<\/ul>\n<p><!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--> <!-- [if !supportLists]--> <!--[endif]--><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Minor criteria: <\/strong><\/p>\n<ul>\n<li><!-- [if !supportLists]--> Bilateral ankle edema<\/li>\n<li><!-- [if !supportLists]--> <!--[endif]--> Nocturnal cough<\/li>\n<li><!-- [if !supportLists]--> <!--[endif]--> <span class=\"SpellE\">Dyspnea<\/span> on ordinary exertion<\/li>\n<li><!-- [if !supportLists]--> <span class=\"SpellE\">Hepatomegaly<\/span><\/li>\n<li><!-- [if !supportLists]--> Pleural effusion<\/li>\n<li><!-- [if !supportLists]--> Decrease in vital capacity by one third from maximum recorded<\/li>\n<li><!-- [if !supportLists]--> Tachycardia (heart rate&gt;120 beats\/min.)<\/li>\n<\/ul>\n<p class=\"MsoNormal\">Minor criteria are acceptable only if they can not be attributed to another medical condition (such as pulmonary hypertension, chronic lung disease, cirrhosis, <span class=\"SpellE\">ascites<\/span>, or the <span class=\"SpellE\">nephrotic<\/span> syndrome).<\/p>\n<p class=\"MsoNormal\">The Framingham Heart Study criteria are 100% sensitive and 78% specific for identifying persons with definite congestive heart failure.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<ol>\n<li>\n<p class=\"MsoNormal\">McKee PA, <span class=\"SpellE\">Castelli<\/span> WP, McNamara PM, <span class=\"SpellE\">Kannel<\/span> WB. The natural history of congestive heart failure: the Framingham study. N <span class=\"SpellE\">Engl<\/span> J Med. 1971 Dec 23<span class=\"GramE\">;285<\/span>(26):1441-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/5122894\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/p>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Apr 21, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[1183,1348,1748,1751,16,15,674,901,1750,673],"class_list":["post-80","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiaco","tag-cardiology","tag-congestive","tag-congestivo","tag-criteria","tag-criterios","tag-failure","tag-fallo","tag-framingham","tag-heart"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/80","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=80"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/80\/revisions"}],"predecessor-version":[{"id":9372,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/80\/revisions\/9372"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=80"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=80"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=80"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}