5. MODIFIED FRAMINGHAMS CRITERIA
FOR DIAGNOSIS OF CHF
DX =2 MAJOR OR 1 MAJOR AND TWO MINOR CRITERIA
NOT ATTRIBUTED TO OTHER MEDICAL CONDITIONS
Major criteria
Paroxysmal nocturnal dyspnea
Orthopnea
Elevated JVP
Third heart sound
Pulmonary rales
Cardiomegally on chest x ray
Pulmonary edema on chest x ray
Weight loss >= 4.5 kg in five days in response to treatment of
presumed CHF 5
6. Minor criteria
Bilateral leg edema
Nocturnal cough
Dyspnea on ordinary exertion
Hepatomegaly
Pleural effusion
Tachycardia ( HR >= 120 bpm)
Weight loss > = 4.5 kg in five days
6