Congestive Heart Failure, Definition of Congestive heart failure, Causes, Sign & Symptoms, Right & Left Ventricular failure, Complication & Management. (by GS India Nursing).

Definition of Congestive Heart Failure:- Heart failure or congestive heart failure is inability of the heart to pump adequate amount of blood to body due to any underlying cause. (OR)

” It is a physiological state in which heart is impossible to pump blood according to metabolic need. heart failure is not a disease but group of manifestations in which inadequate pump performance of heart that to pulmonary and systemic congestion.

Right ventricular failure or right side heart failure:-

Definition:- Right ventricular failure is inability of right ventricle to pump adequate blood in Pulmonary artery that supplies lungs.


  • Pleural effusion.
  • Pulmonary artery stenosis.
  • Pulmonary embolism.
  • Ventricular arrhythmia.
  • Right ventricle valves disorder.
  • Rheumatic heart disease.
  • Kidney Disease.
  • Ascites.


  • Dyspnea.
  • Pulmonary Crackles.
  • Oedema in extremities.
  • Fluid overload.
  • Cardiomegaly.
  • Distended juglar vein.
  • Ascites.
  • Oliguria.
  • Anorexia.
  • Weakness.
  • Nausea and vomiting.
  • Excessive restlessness.
  • Weight gain.
  • Hypoxia.
  • Tachycardia.
  • Shortness of breath.

Left ventricular failure or left side heart failure:-

Definition:- Left ventricular failure or left side heart failure is a condition characterized by inability of left ventricular to pump adequate blood into aorta that results lack of peripheral circulation.


  • Coronary artery disease.
  • Cardiomyopathy.
  • Blood pressure.
  • Anemia.
  • Atherosclerosis.
  • Arteriosclerosis.
  • Myocardial infarction.
  • Heart infection.
  • Myocarditis.
  • Endocarditis.


  • Hypertension.
  • Dyspnea.
  • Hypoxia.
  • Cyanosis.
  • Headache.
  • S3 cardiac sound.
  • Chest pain.
  • Diaphoresis.
  • Palpitation.
  • Tachycardia.
  • Tachypnea.
  • Noctiuria.


  • Pulmonary oedema.
  • Severe electrolyte imbalance.
  • Cerebral insufficiency.
  • Thromboembolism.
  • Liver damage.
  • Kidney damage.
  • Death.

Right and Left heart failure” Diagnosis of Heart Failure:-

  • History collection.
  • Physical examination.
  • Blood investigations.
  • ECG ( Electrocardiography).
  • BNP assey.
  • Cardiopulmonary exercise test.
  • Chest X-ray
  • Echocardiography.
  • CT Scanning.
  • MRI .


Diuretics:- (|es preload), e. g, Furosemide, thiazide.

Positive intropic agent:- increase heart ability effectively.


Digoxin, Only effective in severe case of failure. Dopamine, Also improve renal blood flow. Vasodilators, Nitrates (previously described). ACE inhibitors, Angiotensim converter enzyme, Reduce after e, g. Captopril–15-25mg TDS Analapril.


  • Stay active. Check with your doctor before starting an exercise routine.
  • Don’t use illegal drugs.
  • Treat heart and other conditions.
  • Don’t smoke and avoid exposure to second hand-smoke.
  • Eat a heart healthy diet that is low in sodium and fat.
  • Don’t drink alcohol or limit intake to no more than one drink two or three times a week.
  • Lose of weight if you need to.
  • Manage stress.

I hope that you liked this articles……..!!

Thanking you………!!

By GS India Nursing……….!!

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