This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: C.V.S, Subject name: Medicine
Which of the following is not a framingham major criteria for the diagnosis of hea failure ? 
Select and explain. 
A. Paroxysmal nocturnal dyspnea, B. Cardiomegaly, C. S3 gallop, D. Hepatomegaly
C: S3 gallop
Answer: C: S3 gallop 
Explanation: Ref: R Alagappan - Manual of Practical Medicine 4th Edition.pg no:164 Framingham Criteria for Diagnosis of CCF Major Criteria: Paroxysmal nocturnal dyspnoea Neck vein distension Crackles - lung fields Cardiomegaly Acute pulmonary oedema Third hea sound - gallop Increased venous pressure (>16 cm H2O) Positive hepato-jugular reflex Minor Criteria: Extremity oedema Nocturnal cough Dyspnoea on exeion Hepatomegaly Pleural effusion Tachycardia (>120 bpm) Decreased vital capacity by 1/3