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Right Ventricular Failure
(RVF) occurs when the right side of the heart loses its
ability to pump blood efficiently to the lungs. As a result, blood backs up in
the veins, leading to fluid accumulation throughout the body. This condition
commonly develops due to left-sided heart failure, pulmonary hypertension,
chronic lung diseases, congenital heart defects, or damage from a heart
attack affecting the right ventricle. Patients often experience swelling in the
legs, ankles, and abdomen, fatigue, an enlarged liver, rapid weight gain from fluid
retention, and shortness of breath during physical activity.
Diagnosis involves a
thorough clinical examination, electrocardiogram (ECG), echocardiography,
chest X-rays, blood tests, and advanced imaging when necessary. Treatment
focuses on addressing the underlying cause while improving heart function and relieving
symptoms. Diuretics help reduce excess fluid, while medications for
pulmonary hypertension or heart failure may improve circulation. Oxygen
therapy and lifestyle modifications, including reduced sodium intake and
fluid management, are often recommended. In severe or advanced cases,
mechanical circulatory support or heart transplantation may be
considered.
Early diagnosis and timely treatment are essential to prevent complications such as kidney dysfunction, liver congestion, arrhythmias, and worsening heart failure. Regular follow-up, medication adherence, and healthy lifestyle choices significantly improve symptom control, quality of life, and long-term outcomes for patients with Right Ventricular Failure.