What Are the Key Signs of Right-Sided Heart Failure?

Right-sided heart failure presents with several distinct clinical signs, including leg swelling, liver enlargement with tenderness, right ventricular dilation, and a positive hepatojugular reflux test. Heart failure, in general, represents the final stage of various heart conditions, with coronary artery disease and hypertension being the most common underlying causes. Typically, left-sided heart failure precedes right-sided involvement. When left heart failure remains uncontrolled, the condition progresses to affect the right side of the heart.

Progression and Symptoms of Right-Sided Heart Failure

Early symptoms of right heart failure often include loss of appetite, abdominal bloating, and shortness of breath. As the disease advances, it may lead to global heart failure, which affects both sides of the heart. Isolated right heart failure is relatively rare. It is crucial to pay attention to symptoms such as worsening breathlessness and fatigue, as these can signal a dangerous progression to complete heart failure. Prompt medical attention is essential to prevent further deterioration.

Diagnosis and Evaluation of Right Heart Failure

Key Diagnostic Tools and Methods

Accurate diagnosis of right-sided heart failure involves a comprehensive approach that includes reviewing the patient's medical history, physical examination, symptom assessment, and diagnostic testing. One of the most valuable tools in diagnosing heart failure is the B-type natriuretic peptide (BNP) blood test, which helps confirm the presence and severity of the condition.

Patient self-assessment also plays a vital role in monitoring heart function. For example, if someone with heart disease experiences breathlessness or shortness of breath during mild physical activity, it may indicate declining heart function. Recognizing these early warning signs and seeking timely medical care can significantly improve outcomes and help manage the condition more effectively.