Criterion | Point valueb | |
---|---|---|
Category I: History | Rest dyspnea | 4 |
Orthopnea | 4 | |
Paroxysmal nocturnal dyspnea | 3 | |
Dyspnea while walking on level area | 2 | |
Dyspnea while climbing | 1 | |
Category II: Physical examination | Heart rate abnormality (1 point if 91 to 110 beats/minute; 2 points if more than 110 beats/minute) | 1 or 2 |
Jugular venous elevation (2 points if greater than 5 cmH2O; 3 points if greater than 5 cmH2O plus hepatomegaly or edema) | 2 or 3 | |
Lung rales (1 point if basilar; 2 points if more than basilar) | 1 or 2 | |
Wheezing | 3 | |
Third heart sound | 3 | |
Category III: Additional minor criteria | Hepatojugular reflux | 1 |
ECG changes (HLV, old AMI or nonspecific ST-T changes, arrhythmia) | 1 | |
Night cough | 1 | |
Murmur | 1 | |
Without sputum and/or fever | 1 | |
Previous AMI, arrhythmia or HF | 1 | |
HF medications | 1 |