| Feature | Right-sided Heart Failure | Left-sided Heart Failure |
|---|---|---|
| Causes | Impaired right ventricular function, such as from pulmonary hypertension, chronic obstructive pulmonary disease (COPD), or tricuspid valve disease | Impaired left ventricular function, such as from coronary artery disease, hypertension, or aortic valve disease |
| Symptoms | Peripheral edema (swelling in the feet, ankles, and legs), ascites (fluid accumulation in the abdomen), jugular venous distension (swelling of the veins in the neck), hepatomegaly (enlarged liver), and abdominal pain | Dyspnea (shortness of breath), orthopnea (difficulty breathing when lying down), paroxysmal nocturnal dyspnea (episodes of shortness of breath at night), fatigue, and palpitations |
| Physical Exam Findings | Jugular venous distension, hepatomegaly, peripheral edema, sacral edema, ascites, and murmurs | Tachypnea (rapid breathing), wheezing, and rales (crackling sounds in the lungs) |
| Chest X-Ray Findings | Enlarged heart, dilated pulmonary arteries, and interstitial edema | Enlarged heart, pulmonary edema, and cardiomegaly |
| Electrocardiogram (ECG) Findings | Right atrial and right ventricular hypertrophy, right bundle branch block, and T-wave inversion in the right precordial leads | Left atrial and left ventricular hypertrophy, left bundle branch block, and ST-segment depression or elevation in the left precordial leads |
| Echocardiogram Findings | Dilated right ventricle, tricuspid regurgitation, and pulmonary hypertension | Dilated left ventricle, mitral regurgitation, and aortic stenosis |
| Treatment | Diuretics, vasodilators, and inotropic agents | Diuretics, ACE inhibitors, beta-blockers, and digitalis |