English (United Kingdom)Español (spanish formal Internacional)

MC Facebook


Sponsored Links


Harrison's Principles of Internal Medicine - 19th Edition (April 17, 2015)

Home Criteria Cardiology Framingham Criteria for Congestive Heart Failure


The content of this website is provided for general informational purposes only and is not a substitute professional medical advice

Framingham Criteria for Congestive Heart Failure Print E-mail
User Rating: / 36
Written by G. Firman MD   
Friday, 27 February 2009 10:44


Diagnosis of CHF requires the simultaneous presence of at least 2 major criteria or 1 major criterion in conjunction with 2 minor criteria.


Major criteria:

  • Paroxysmal nocturnal dyspnea
  • Neck vein distention
  • Rales
  • Radiographic cardiomegaly (increasing heart size on chest radiography)
  • Acute pulmonary edema
  • S3 gallop
  • Increased central venous pressure (>16 cm H2O at right atrium)
  • Hepatojugular reflux
  • Weight loss >4.5 kg in 5 days in response to treatment

Minor criteria:

  • Bilateral ankle edema
  • Nocturnal cough
  • Dyspnea on ordinary exertion
  • Hepatomegaly
  • Pleural effusion
  • Decrease in vital capacity by one third from maximum recorded
  • Tachycardia (heart rate>120 beats/min.)

Minor criteria are acceptable only if they can not be attributed to another medical condition (such as pulmonary hypertension, chronic lung disease, cirrhosis, ascites, or the nephrotic syndrome).

The Framingham Heart Study criteria are 100% sensitive and 78% specific for identifying persons with definite congestive heart failure.





  1. McKee PA, Castelli WP, McNamara PM, Kannel WB. The natural history of congestive heart failure: the Framingham study. N Engl J Med. 1971 Dec 23;285(26):1441-6. [Medline]

Created: April 21, 2005


Related news items:
Newer news items:
Older news items:

Last Updated on Monday, 25 August 2014 18:54

Free Registry







HONcode accreditation seal. We comply with the HONcode standard for health trust worthy information:
verify here

Site Last Modified

Thursday 19 November 2015, 07:27


Copyright © 2005-2015. All Rights Reserved