Right Sided Heart Failure

RSHF is usually the consequence of..

... left sided heart failure

The increased burden on the right side of the heart is the result of...

..pressure increase in the pulmonary circulation

Severe Pulmonary Hypertension leads to

Cor Pulmonale

isolated right side heart disease can also be seen in patients with

primary pulmonic or tricuspid valve disease or congenital heart disease such as with the left to right shunts causing chronic volume and pressure overloads

Cor Pulmonale can be defined as

Hypertrophy or failure of the right ventricle resulting from disorders of the lungs, pulmonary vessels, chest wall, or respiratory control center

Cor Pulmonale can occur when

Living for an extended period at a high altitude may occasionally cause this condition.

Cardiac Cirrhosis

Passive congestion of the liver caused by right-sided heart failure, ultimately resulting in hepatic scarring and failure

Clinical signs of chronic passive congestion

enlarged liver and spleen due to congestion with blood - nutmeg liver

Clinical signs of RSHF are

enlargement of spleen and liver (hepatic), soft tissue edema, fluid in the pericardial, pleural and peritoneal cavities

In RSHF are there fewer or less respiratory symptoms

fewer

Ascites

fluid in abdominal cavity

Pitting edema is an early sign of

fluid retention

Name a disease of isolated right side heart failure

severe pulmonary hypertension

transudation may lead to a characteristic rash known as

stasis dermatitis

Clinical features of RSHF are

systemic and portal venous congestion

Chronic passive congestion

the elevation in central venous pressure in CHF will cause an increase in resistance to portal blood flow

degree of renal hypoxia is greater in RSHF than LSHF, true or false

true