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Table 1 Framingham diagnostic criteria for congestive heart failure [19]

From: Myocardial dysfunction in rheumatoid arthritis: epidemiology and pathogenesis

Major criteria
   Paroxysmal nocturnal dyspnea
   Neck vein distension
   Pulmonary rales
   Radiographic cardiomegaly (chest radiography)
   Acute pulmonary edema
   Third heart sound gallop
   Central venous pressure > 16 cm water
   Circulation time ≥ 25 seconds
   Hepatojugular reflux
   Weight loss ≥ 4.5 kg in 5 days in response to treatment with diuretics
   Paroxysmal nocturnal dyspnea
Minor criteria
   Bilateral ankle edema
   Nocturnal cough
   Dyspnea on ordinary exertion
   Hepatomegaly
   Pleural effusion
   Decrease in vital capacity by 33% of maximum
   Heart rate ≥ 120 beats per minute
   Bilateral ankle edema
   Nocturnal cough
  1. Two major or one major and two minor criteria are required for a clinical diagnosis of CHF.