Cardiology General Medicine
Framingham Heart Failure Diagnostic Criteria
Diagnoses clinical heart failure. Requires 2 major OR 1 major + 2 minor criteria.
Used in: Heart Failure
Score interpretation
Heart Failure Unlikely 0–1.9
Does not meet Framingham criteria. HF diagnosis not supported.
→ Consider alternative diagnoses for dyspnoea/oedema.
Heart Failure Likely 2–10
Meets Framingham criteria (≥2 major OR 1 major + 2 minor). Clinical HF diagnosis supported.
→ Initiate HF workup: BNP/NT-proBNP, ECG, echocardiogram. Commence GDMT.
Interpretation bands for the Framingham HF. Apply clinical judgement and local guidance.
References
- McKee PA et al. The natural history of congestive heart failure: the Framingham study. N Engl J Med. 1971;285(26):1441-1446.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.