What are the symptoms of right heart failure, the most common symptoms of right heart failure are

Right-sided heart failure is mostly caused by left-sided heart failure. Pulmonary congestion is relieved by heart failure, so the symptoms of dyspnea are slightly lessened. Isolated right-sided heart failure is often caused by chronic cor pulmonale, and the degree of dyspnea is severe. 1.Edema.

Most of them start from the lower limbs, such as stepping on the part, in front of the intestinal bone, and when the recumbent position is significant. Because edema first appeared in the prolapsed part of the body, the father called drooping edema. It usually worsens in the evening after daytime activity, and may subside or lessen after overnight rest.

As the disease progresses, generalized edema may occur, and even pleural or ascites may develop. 2.Jugular venous distention.

An early manifestation of right-sided heart failure is an indication of increased venous pressure. When venous pressure is markedly elevated, superficial veins in other parts of the body are also filled, and jugular venous pulsations may be seen, with a positive hepatojugular venous reflux sign. 3.Bleeding of internal organs.

Hepatic congestion: hepatomegaly, hard, tender, with heart failure getting better or worse, the liver can enlarge or shrink in a short period of time. When the right heart failure is aggravated suddenly, the liver is acutely congested, and the liver lobular ** cells are necrosis, causing rapid enlargement of the liver, obvious tenderness, and jaundice, liver dysfunction, etc.

Once heart failure improves. The above situation is back to normal. Long-term chronic hepatic congestion can cause hepatocyte atrophy, connective tissue proliferation, and cardiogenic liver cirrhosis.

Renal congestion: glomerular filtration decreases, permeability increases, resulting in decreased urine output, and a small amount of protein, red blood cells and casts in the urine. Renal function can be impaired to varying degrees.

Gastrointestinal congestion: there is bloating, loss of appetite, nausea and vomiting, diarrhea, etc. 4.

Cyanosis. It is caused by low oxygen in the venous blood. It first appears at the end of the circulation, such as the fingertips, lips, and auricles. The group with heart failure was more severe than in the isolated group with left heart failure.

The most important manifestation of right heart failure is the clinical symptoms of systemic blood stasis, which mainly include shortness of breath, chest tightness, upper abdominal distension and discomfort, decreased activity endurance, and other manifestations are nausea and vomiting, and lack of appetite. There may be peripheral edema, mainly manifested as depressed edema of both lower limbs, and may also involve the pubic and lumbosacral regions, and in severe cases, it will affect the whole body, and even pleural effusion and ascites may occur, and in severe cases, subcutaneous edema will also occur. In addition, such patients may also have cyanosis, usually seen in the lips, fingers and other conditions, and may also have mental symptoms such as drowsiness and insomnia.

Answer] :d patients with left heart failure have respiratory symptoms in the early stage due to congestion due to lung crumbling, among which exertional breathing difficulty is the most typical symptom. Patients with right heart failure mainly present with systemic congestion, the most common manifestation is gastrointestinal congestion, and clinical discomfort such as abdominal distention, loss of appetite, nausea, and vomiting often occur.

Left-sided heart failure is a clinical syndrome caused by pulmonary congestion and decreased cardiac output.

A common symptom in patients with left-sided heart failure.

1) Dyspnea is the main symptom of left heart failure that appears earlier.

Dyspnea on exertion: dyspnea begins only with heavy physical activity and resolves spontaneously with rest. The main difference between exertional dyspnea in normal and heart failure patients is that the latter also worsens dyspnea with normal activity.

As left ventricular dysfunction worsens, the intensity of exertion that causes dyspnea decreases.

Nocturnal paroxysmal dyspnea: Paroxysmal dyspnea often occurs at night. The patient suddenly wakes up with a severe feeling of suffocation and terror, and sits up quickly, which will take 30 mir or more to relieve.

It is usually accompanied by wheezing in both lungs and is called cardiogenic asthma. The possible mechanism of its occurrence is related to the increase of interstitial fluid reabsorption and return to the heart after bed rest, the increase of vagal tone during sleep, the spasm of the small bronchospasm, the elevation of the diaphragm muscle in the recumbent position, and the decrease of lung capacity.

Orthopnea: Dyspnea occurs quickly when lying down, often in the lying position for 1-2 minutes, and the head needs to be pinched with a pillow. The amount of blood returning to the heart increases in the recumbent position, and the pressure in the left hollow terminal stage of left heart failure increases, which further increases the pressure of the pulmonary veins and pulmonary capillary JHL ducts, causing interstitial pulmonary edema, reducing lung compliance, increasing breathing resistance and aggravating dyspnea.

Acute pulmonary edema: is a further development of cardiogenic asthma.

2) Cough, sputum production, and hemoptysis Cough is an early symptom that often occurs at night, and cough can be reduced or stopped when sitting or standing. The sputum is usually serous, white foamy, and sometimes the sputum is blood-streaked, such as pulmonary capillary pressure is very high, or in pulmonary edema, the plasma extravases into the human alveoli, and there may be pink foamy sputum.

3) Decreased physical strength, fatigue and weakness are almost all common symptoms, and the most common cause is dyspnea after pulmonary congestion. It is also related to the inability to increase the cardiac blood volume normally after exercise, and the decrease in cardiac output leads to insufficient perfusion of tissues and organs. Older people may have mental symptoms such as confusion, decreased memory, anxiety, insomnia, and hallucinations.

Arterial pressure is usually normal, but pulse pressure is reduced.

4) Urinary symptoms When blood flow is redistributed in left heart failure, there is increased nocturia in the early stage. In severe left-sided heart failure, the amount of cardiac blood is severely reduced, renal blood flow is reduced and oliguria occurs, or blood urea and creatinine are elevated and there are corresponding manifestations of renal insufficiency.

Answer] :d 2The first pre-nuclear appearance of left heart failure in the early stage of left heart failure is dyspnea on exertion, which resolves after rest; The most typical is paroxysmal nocturnal dyspnea, and severe remorse can occur with rapid modification of pulmonary edema; Orthopnea occurs in the late stages.

3.Manifestations of acute pulmonary edema. Severe dyspnea, with a frequency of 30 to 40 minutes, coughing, coughing up a large amount of pink frothy sputum, the patient is often extremely irritable, sweating profusely, with bluish lips and pale face, forced to sit with his legs drooping and his arms supported to help him breathe.

On examination, the heart rate and rhythm are elevated, the lungs are full of crackles and wheezing, and diastolic gallop rhythm can be heard in the apical area.

4.Right heart failure is characterized by systemic congestion. Symptoms include loss of appetite, nausea, vomiting, oliguria, nocturia, and pain in the liver area.