Framingham congestive-heart-failure score

The Framingham congestive-heart-failure score can be used to diagnose heart failure and monitor its response to treatment.

Calculation of the score

 * Major findings (1 point each)
 * Paroxysmal nocturnal dyspnea
 * Abdominojugular test positive
 * Third heart sound present
 * Basal crackles
 * Minor findings (0.5 point each)
 * Orthopnea
 * Reduction in exercise tolerance
 * Resting heart rate > 100 bpm
 * Hepatomegaly
 * Peripheral edema

Clinical uses of the score
The score can be used  (two major or one major and two minor criteria) to  diagnose heart failure.

The score can also be used to monitor the response to treatment for heart failure. Targeting a clinical score to a score of 2 or less may  or may not be similar to  targeting brain  natriuretic peptide  (BNP) level.