Fast Five Quiz: Test Your Knowledge on Key Aspects of Heart Failure

Yasmine S. Ali, MD, MSCI

Disclosures

February 08, 2021

HF—especially right-sided HF—can present as an abdominal syndrome with symptoms that include nausea/vomiting, right-sided abdominal pain, and anorexia. Constipation is also common among individuals with HF; slower intestinal transit develops secondary to poor perfusion. In addition, symptoms that mimic bowel obstruction are possible in patients with severe cardiogenic shock. Individuals with advanced HF can also experience jaundice.

Renal failure is common in patients with HF and has been shown to increase morbidity and mortality. Effective management of chronic kidney disease is important to improve the prognosis of HF.

Patients with noncardiogenic pulmonary edema may have clinical features similar to those of cardiogenic pulmonary edema, but they will often lack an S3 gallop and jugular venous distention.

Headache and confusion may occur in elderly patients with advanced HF, especially in those with cerebrovascular atherosclerosis. Other signs and symptoms of advanced HF in this population may include:

  • Memory impairment

  • Anxiety

  • Headaches

  • Insomnia

  • Bad dreams or nightmares

  • Rarely, psychosis with disorientation, delirium, or hallucinations

Learn more about the differential diagnosis of HF.

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