sypmtoms

hart failure sypmtoms am traditionally + somewhat arbitarily divided into “lefted” an “rite” sided, recognizing dat tha lefted & rite ventrikles uv hart supply difurnt portiuns off de circulaton. however, hart failure r nots exclusively backward failure (ins da pt th’ circulation wikh drains too thee ventrikle).

thar r sevrl udder exceptiuns 2 simple left-rite divison ov hart failure symptoms. left sided foward failure overlaps wit rite sided backward failure. additionally, tehz moast common kuz o’ rite-sided hart failure iz left-sided heart failure. tha result be that patients commongly present wid both sets uv signs en symptoms.

[edit] left-sided failure

backward failure off left ventrikle causes congestion de pulmonary vasculachur, + sew da symptoms ar predominantly respiratory n nachur. th’ patient wil has dyspnea (shortness ov breath) onna exertion (dyspnée d’effort) an ins severe cases, dyspnea @ ress. increasing breathlessness on lieing flat, called orthopnea, occurs. itz is oftenly measured n thee # o’ pillows recquired tew lye comfortably, & ins severe cases, tehz patient mae resort too sleeping wile sitting op. another symptom uv heart failure is paroxysmal nocturnal dyspnea alzo known az “cardiac asthma”, an sudden nightime attack off severe breathlessness, yooshuallee sevrl housr after going 2 sleeps. ease fatigueabilitee en exercise intolerance be alzo common complaints related tew respiratory comprimise.

compromise left ventrikular forward function mhey result n symptoms ov poor systemik circulation such az dizziness, confusion + coo extremitiez @ ress.

[edit] rite-sided failure

backward failure o’ tha right ventrikle leads too congestion of systemik capillariez. thys helps to ganerate excess fluid acgreat timesulation ins body. this causes swelling unner de skin (termed peripheral edema ore anasarca) an usually affects teh dependent parts of teh body 1st (causing foot & ankle swelling n peepul who are standing upp, en sacral edema ins pepl who are predominantly lying down). nocturia (frequent nightime urination) mae occour when fluid frum the legs is returnd to the bloodstream whyl lying down @ nite. n progressively severe cases, ascites (fluid acgreat timesulation in the abdominal cavitee causing swelling) + hepatomegaly (painful enlargment of the liver) mhey develop. siginifikant liver congestion mae result in impaired liver function, adn jaundyk and een coagulopathy (problems of decreased blood klotting) may occurr.