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Framingham Criteria for Congestive Heart Failure
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Video Source: www.youtube.com/watch?v=5YVkazZOmbA
Major and minor criteria simple explained • Major Criteria: • Paroxysmal nocturnal dyspnea or orthopnea, • Neck-vein distention • Cardiomegaly • Acute pulmonary edema • S3 gallop, the oscillation of blood back and forth, is caused by rapid diastolic filling. • Rales; Small clicking, bubbling, or rattling sounds in the lungs. • Circulation time ≥25 sec. average circulation time in normal resting adults for the blood to travel from the arm vein, through the heart and lungs, and up to the mouth, is 13 seconds • Increased venous pressure 16 cm of water; Normal values vary between 4 and 12 cmH2O • Hepatojugular reflux ; Hepatojugular reflux is the distension of the neck veins precipitated by the maneuver of firm pressure over the liver. • Minor Criterias are: • Ankle edema, • Night cough, • Dyspnea on exertion, • Hepatomegaly, • Pleural effusion, • Vital capacity ↓ ⅓ from maximum, • Tachycardia (rate of ≥ 120/min), • Major or Minor Criterion • Weight loss ≥4.5 kg in 5 days in response to treatment • By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index... • By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index...
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