Right heart failure

Right heart failure . Syndromic picture characterized by venous congestion in the systemic circulation due to failure of the right cavities ( right ventricle ). Clinically observed distention of the veins of the neck . Congestive hepatomegaly and lower limb edema.


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  • 1 Demonstrations
  • 2 Pathogenesis
    • 1 Other causes
  • 3 Sources


  1. General discomforts: fatigueanorexia , nausea , vomiting , poor urine output , headache , insomnia , nightmare .
  2. Skinsweaty , jaundiced, or sub- jaundiced (from liver congestion )
  3. Cardiovascular Systemright ventricular ( beating heart at the bottom of the base left septal ), systolic murmur , precordial movement , momentum of the right ventricle along the left septal basis or in the xiphoid , abdominojugular test (elevation wave a and v).
  4. Peripheral vascular systemdilation of the neck veins , edema (hard and sometimes with cyanotic tint) in the periphery of the extremities, sacrum and genitalia , which can be generalized ( anasarca )
  5. Gastrointestinal systemweight gain ( water retention ), abdominal bloating ( ascites ), congestive hepatomegaly and splenomegaly .


In many occasions it is followed by right ventricular failure :

  1. Emphysema: Chronically
  2. Pulmonary hypertension: in chronic form.
  3. Pulmonary thromboembolism: acutely

Other causes

  1. High sodium intake
  2. Infections ( rheumatic fever, can injure a right cavity valve )
  3. Decreased blood risk by an arteryor coronary branch watering that part of the heart muscle , resulting in ischemia or injury that area (if myocardial acute the infarction , necrosis of that area) recognized as an area hipoquinética or akinetic
  4. Constrictive pericarditis
  5. Pulmonary cor
  6. Tricuspid or pulmonary valve disease
  7. Cardiomyopathy


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