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Doctor insights on: Sided Heart Failure

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Right v left-sided heart failure?

Right v left-sided heart failure?

Physical exam: Fluid accumulates during congestive heart failure. When the right side of the heart fails, fluid accumulates in the legs and abdomen. When the left side of the heart fails, fluid accumulates in the lungs and makes the patient short of breath. Not infrequently, both sides of the heart fail at the same time. ...Read more

Dr. Joseph Shen
3,316 Doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


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What causes right-sided heart failure?

What causes right-sided heart failure?

RV failure: The commonest cause of right heart failure is left heart failure. After left heart failure causes include pulmonary vascular disease, pulmonary parenchymal disease, congenital heart disease, myocardial disease and valvular heart disease and others ...Read more

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What is left-sided heart failure from?

What is left-sided heart failure from?

Left ventricle: The left ventricle is dysfunctional either during systole (squeezing). Or diastole (relaxing) or both. In either case, forward flow of blood through the heart to the body is impaired. This leads to blood backing up into the lungs causing shortness of breath. ...Read more

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What are causes of right sided heart failure?

What are causes of right sided heart failure?

Many: Most common cause of r sided failure is l sided failure. Pulmonary hypertension, primary lung diseases and valvular problems can also produce this. ...Read more

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What is right side heart failure vs. Left sided?

What is right side heart failure vs. Left sided?

Right heart failure: Right heart failure refers to weakness or stiffness involving the right ventricle or lower chamber as opposed to the left ventricle. This causes a unique constellation of symptoms including swelling in abdomen and legs, liver malfunction, weakness and shortness of breath. ...Read more

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What are the tests for left-sided heart failure?

What are the tests for left-sided heart failure?

Multiple: Physical examination, chest x-ray, bnp (brain natruretic peptide) are the tools used most of the time. In some cases, echocardiography and cardiac catheterization are required. ...Read more

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What are the symptoms of left sided heart failure?

What are the symptoms of left sided heart failure?

Swelling: The left side of the heart pumps blood throughout your body. When it fails, it decreases blood flow to organs. This can cause kidney injury, liver injury, fatigue, shortness of breath with little exertion, swelling of the feet and legs, fluid build-up in the lungs, and difficulty sleeping flat due to shortness of breath. Medications and diet are important for this disease! ...Read more

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What are the symptoms of left-sided heart failure?

Congestion: Breathlessness, especially with exertion. Easy fatigability. Impaired exercise capacity. These are early signs. Without treatment, one becomes short of breath resting, especially when lying down (orthopnea) and at night (paroxysmal nocturnal dyspnea). Eventually the right heart also fails leading to swelling (edema), abdominal fluid (ascites and effusions), and cachexia (wasting). ...Read more

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What are the symptoms of right sided heart failure?

What are the symptoms of right sided heart failure?

Symptoms rt heart fa: Rt sided heart failure is due to long standing high blood pressure in pulmonary arteriesand right ventricle of the heart. Symptoms are shortness of breath and lightheadedness during activities, chest discomfort or pain, swelling of feet and ankles. Symptoms of underlying cause wheezing and cough and fainting spells with activities. ...Read more

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Could you explain what is left sided heart failure?

Could you explain what is left sided heart failure?

Congestive heart fai: CHF is a symptom complex. Many cardiac problems can cause chf. Generally loss of exercise capacity, shortness of breath, fatigue and sometimes peripheral swelling we call edema is present. CHF can be right sided, left sided or biventricular. It can be caused by systolic, diastolic or valvar problems. It affects the whole body and all its systems. ...Read more

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How to tell if it's right or left sided heart failure?

How to tell if it's right or left sided heart failure?

Symptoms overlap: By symptoms alone sometimes its difficult. A thorough history and physical exam along with an echocardiogram usually goes along way to making the diagnosis. ...Read more

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With right sided heart failure would the pcwp increase?

With right sided heart failure would the pcwp increase?

Complicated: Pulmonary wedge pressure estimates left atrial pressure. Classically, isolated right heart failure implies that the left heart is normal. However, even in isolated right heart failure, the rv can dilate to the point were lv filling is impacted, and therefore, the pulmonary wedge pressure can increase. Lv-rv interactions can be complex. Also, left heart disease can cause rv failure. ...Read more

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What is pathophysiologic of right sided heart failure!?

What is pathophysiologic of right sided heart failure!?

Right heart failure: The commonest cause of right heart failure is left heart failure. The causes of isolated right heart failure include primary pulmonary hypertension and pulmonary diseases associated with pulmonary hypertension. Left to right cardiac shunts cause right heart failure and mitral stenosis is another (techinically this is a left heart cause. ...Read more

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What's the safest way to treat right-sided heart failure?

What's the safest way to treat right-sided heart failure?

Medication: Usually therapy is with medications li similar to left heart failure. Diuretics, beta blockers, ace inhibitors. If a specific cause can be identified that should be treated as well. That could coronary heart disease affecting the right ventricle or a lung process that may be causing the right ventricle to work eccessively. ...Read more

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What are the symptoms associated with right-sided heart failure?

What are the symptoms associated with right-sided heart failure?

Symptoms rt heart fa: Rt sided heart failure is due to long standing high blood pressure in pulmonary arteriesand right ventricle of the heart. Symptoms are shortness of breath and lightheadedness during activities, chest discomfort or pain, swelling of feet and ankles. Symptoms of underlying cause wheezing and cough and fainting spells with activities. ...Read more

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How does left-sided heart failure cause right-sided heart failure?

How does left-sided heart failure cause right-sided heart failure?

CHF: The failed left ventricle backs blood up in the lungs which increases the work of the right heart which eventually fails ...Read more

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What is the definition or description of: Right sided heart failure?

What is the definition or description of: Right sided heart failure?

Right heart failure: If the right side of the heart can not keep up with the demand for blood pumping through the lungs, we call that right heart failure. Typical symptoms might include swelling in the feet or ankles, and in more severe cases abdominal discomfort or abdominal swelling. The most common cause of RHF is Left HF. These are serious conditions and require expert management including several meds. ...Read more

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Believe in power of prayer. Will it work for right-sided heart failure?

Believe in power of prayer. Will it work for right-sided heart failure?

Hope: Prayer will help you cope with this difficult problem and give you hope to keep living. Whatever the outcome, if you are content in your heart, you will be able to move forward. ...Read more

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What are the symptoms of right sided heart failure in a younger person?

What are the symptoms of right sided heart failure in a younger person?

Depends: The cause of the right sided failure wil influence the symptoms, course of the disease, and treatment. Right heart failure in a younger person may be from untreated sleep apnea w/ seconadry pulmonary hypertension, a pulmonary embolus can cause acute s/s, primary pulmonary hypertension can. The pt usually has lower extremity edema, perhapse acites with abdominal pain/ poor apetite. ...Read more

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What are the factors that affect the severity of left sided heart failure?

What are the factors that affect the severity of left sided heart failure?

CHF: This is complicated. The degree of muscle dysfunction, valve abnormalities, renal function, arterial and venous tone, chronotropic competence, coronary status, hormonal status, diabetes if present, anemia...... ...Read more

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How are the symptoms of right sided heart failure different from left heart?

How are the symptoms of right sided heart failure different from left heart?

Findings: One must remeber that the most common cause of right heart failure is left heart failure and thuswhat is often referred to as left heart failure can represent biventricular failure. Isolated left heart failure usually manifests in pulmonary edema and shortness of breath. Right heart failure can manifest as passive liver congestion, periphera edema, elevated venous jugluar pressures, etc. ...Read more

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What are the symptoms of left sided heart failure due to your heart's low output?

What are the symptoms of left sided heart failure due to your heart's low output?

Variable: These can vary tremendously from person to person. The symptoms can include fatigue, weakness, decreased exercise tolerance, shortness of breath, pulmonary edema. It can be associated with abnormal heart rhythms and also with symptoms of right heart failure as well (and commonly right heart failure symptoms do co-exist). ...Read more

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What is the difference between a right-sided heart failure and a left-sided heart failure?

What is the difference between a right-sided heart failure and a left-sided heart failure?

Heart failure: The heart has left and right sides. Either side can fail. The commonest cause of right heart failure is left heart failure. Left heart can fail from heart attacks, valve disease, high blood pressure, genetic problems, viral diseases, poisons. Likewise the right heart. Chronic lung disease can also cause right heart to fail. This is not a a complete listing but should give an idea. Google for more ...Read more

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Help please? What is the difference between a right sided heart failure and a leftsided heart failure?

Help please? What is the difference between a right sided heart failure and a leftsided heart failure?

Affected ventricle: Simplistically, the difference between right heart failure and left heart failure is which pumping chamber is failing, the right ventricle pumping to the lungs, or the left ventricle pumping to the body. Beyond that, the likely causes are different and the treatment options are different. ...Read more

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What is the cure for right side heart failure?

Diuretics: Right sided hf is a challenge if in isolation. The most common cause is left heart failure, for which treatment is established. However, we don't fully understand rhf well. Currently, treatment is mostly diuretic therapy, to maintain adequate fluid balance. One can also add digoxin, and occasionally nitrates and hydralazine. One needs to look closely at the pulmonary vasculature as well. ...Read more

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What is left sided heart failure and is it fatal?

What is left sided heart failure and is it fatal?

Fluid backup to lung: Left-sided heart failure results in fluid buildup in the lungs and causes shortness of breath. This can be a result of problems with the mitral valve. If this is the case, correction of the valvular disease can arrest progression of the disease. Typically, over time, the right heart will also fail. ...Read more

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What vital signs would you expect from a 61 year old male with right sided heart failure?

What vital signs would you expect from a 61 year old male with right sided heart failure?

Variable: Sorry but hard to say. Make sure he is being followed closely by a cardiologist to maximize quality of life and minimize hospitalizations. ...Read more

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Does cor pulmonale = right sided heart failure?

Does cor pulmonale = right sided heart failure?

Sort of: Cor pulmonale is the inability of the right side of the heart to pump blood through the lungs. One common cause is left-sided heart failure and this isn't cor pulmonale. A host of lung diseases cause cor pulmonale and some folks use the term to include heart failure due to pulmonary thromboembolization. ...Read more

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What's the treatment for right side heart failure?

What's the treatment for right side heart failure?

Vasodilators: In right sided heart failure the problem is abnormalities in the pulmonary or lung circulation. There is typically underlying lung diseases. Treatment involves 1) treatment of the specific lung disease, 2) supplemental oxygen if needed as this tends to dilate the blood vessels in the lungs 3) medicine that directly dilate the blood vessels in the lungs, one such medicine is a form of "viagra". ...Read more

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What's the treatment for right side heart failure?

What's the treatment for right side heart failure?

Specific treatment: Really depends on the cause. In general diuretics are critical to treat the volume overload and edema. ...Read more

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What is the treatment for left-sided heart failure?

What is the treatment for left-sided heart failure?

Heart failure: Left sided or systolic heart failure is treated with several meds including ace inhibitors, beta blockers and diuretics. Other meds such as spironolactone and arb, or angiotensin receptor blockers, can be added as allowed by blood pressure tolerates. ...Read more

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What is the treatment for right sided heart failure?

Right heart failure: The best treatment for right heart failure is to treat the underlying cause. If the right heart fails due to lung disease, then treat it, or if it is due to congenital heart disease then try to correct the defect. Sometimes the cause can't be determined or corrected and then we do the best we can to treat the symptoms. ...Read more

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What is the typical treatment for right side heart failure?

Not easy: Unfortunately, our understanding and treatment of right heart failure is not at the level of left heart failure. One has to be careful with fluid management because in the case of right heart failure, you're actually dependent on volume to keep the function of the heart going, therefore, overly aggressive fluid management treatments often backfire. The balance is much more important here. ...Read more

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Are there any permanent treatments for left sided heart failure?

Heart failure: The cause of the heart failure informs what treatment and how effective it will be. "permanent" treatment is difficult to reconcile, no 'cure' is extant for heart failure tho effective treatments exist. ...Read more

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Do people ever get right sided heart failure with portal hypertension?

Do people ever get right sided heart failure with portal hypertension?

Pulmonary htn: At least 5% of people with portal hypertension, typically caused by cirrhosis, will develop pulmonary hypertension (high blood pressure in the lungs.) pulmonary hypertension can cause right heart failure. ...Read more

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What is the difference between cor pulmonale, right-sided heart failure?

What is the difference between cor pulmonale, right-sided heart failure?

See below: Cor pulmonale implies right sided heart failure due to lung disease. There are other causes of right heart failure the most common of which is left heart failure. Other causes are congenital heart disease and disease of the tricuspid valve. ...Read more

Dr. Bennett Werner
761 Doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more


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