- How would you tell the difference in right and left sided heart failure? (A.S.A.P.10 pts)?
- How to tell if it’s Right sided heart failure or Left sided heart failure?
- What happens when the swelling of the left leg moves into the upper leg due to having Congestive Heart Failure?
- Looking for information from anyone who has had a dog with right sided heart failure?
- heamodynamic evaluation of left and right ventricle after pacing in patiants with heart failure?
what are the clinical manifestations of Right Sided Congestive Heart Failure and Left Sided CHF?
17
Mar
druid
March 17, 2010 at 8:22 am
<>O boy, it’s been a while, but here goes- Left-sided CHF is the entity that is considered “most common” with the symptoms of tachycardia, difficulty breathing, fine rales in the lungs, and swelling ankles. Right CHF is far more systemic in its manifestations, and dangerous in its ramifications, exhibiting itself in enlarged livers, sarco-edema (abdominal edema), and profound dyspnea. RCHF bodes a worse prognosis, but- LCHF can cause RCHF and vice versa. Both indicate a progressive failure of the heart to be able to pump properly (because of cardiomegaly, successive MIs, etc.).
nurse07
March 17, 2010 at 8:48 am
right sides symptoms are systemic, ie: edema in extremities, jugular venous distention. left sided failure has pulmonary symptoms, Ie: crackles, rales, pulmonary edema, etc. A easy tip to help you remember is to think of the anatomy of the heart, and what goes where, that should help you with the symptoms.
B S
March 17, 2010 at 8:57 am
Right sided CHF is from the dilation of the right side of the heart the manifestations are swelling in the extremities (like the back up of fluid in the peripheral circulation system). Left side CHF is dilation of the left side of the heart and has the clinical manifestation of pulmonary edema( like the back of of fluid in to the pulmonary system)
zoya
March 17, 2010 at 9:19 am
actually right sides heart failure is known as CHF & left side failure as LVF & not CHF. Both may be together than we use the term biventriculat failure. The Rt. Sided CHF is due to poor venous return & symptoms are Pedel edema ,enlarged tender liver due to venus congestion ,raised jugular venous pressure & pulmonary basal crepts due to raised pulmonary artery pressure. Basal crepts give rise to breathlessness. When edema increases with advance failure fluid may collect in abdomen as ascitis .
The LVF is more of acute nature & more serious with more difficulty in resp ,more breathlessness.,palpitation,pain chest THe breathlessness may be on exterion i..e. exertional dyspnoea or it may be even while resting that is dyspnoea on rest . The sudden nocturnal dyspnoea is more due to LVF when pt is unable to sleep horizontally as in the horizontal position the venous return from extremities increases due to anti gravity effect & pulmonary congestion increases result in sudden attacks of nocturnal dyspnoesa & that signifies more severe LVF. Rt sides respond bettr to digoxin & antidiuretics. Left antidiuretic with treatment of cause of LVF.