Compare and Contrast Right and Left Sided heart failure PDF

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Summary

Jennifer Remick and Wendy Zeiher...

Description

Compare and Contrast

Right Sided Failure

Left Sided Failure

Blood goes back into the venous circulation

Most common. Blood goes back into the lungs / pulmonary circulation

Clinical manifestations:

Clinical manifestations:

-Jugular vein distention -Edema (first in lower extremities, then upper) -Hepatomegaly -Splenomegaly -Decrease in UO -Fatigue -Increased peripheral venous pressure -Ascites -GI distress/anorexia -Weight gain

-Manifests as pulmonary congestion and edema -SOB (& paroxysmal nocturnal dyspnea [elephant on chest], orthopnea) -Crackles -Congested cough -Pink frothy sputum (blood-tinged as the lungs fill up with blood more) -Tachypnea -Tachycardia – b/c problem with CO -Fatigue -Cyanosis -Elevated PAWP Results in acute decompensated heart failure (ADHF)

The primary cause of right-sided HF is left-sided HF. left-sided HF results in pulmonary HTN and congestion and eventually, chronic pulmonary HTN causes increased RV afterload which results in right-sided hypertrophy and HF. May result from an acute condition like a PE or right ventricular infarction; or cor pulmonale (right ventricular dilation and hypertrophy caused by pulmonary disease)...