Right-sided heart failure commonly presents with which finding?

• A. Pedal Edema
• B. Hypotension
• C. Headache
• D. Nausea

Answer: (A)

Right-sided heart failure causes systemic venous congestion because the right ventricle isn’t effectively moving blood into the lungs. This back-pressure raises hydrostatic pressure in peripheral capillaries, so fluid leaks into tissues, especially in dependent areas where gravity pools it. Pedal edema becomes a classic sign as fluid collects in the legs and feet. While other symptoms like hypotension can occur if the condition worsens severely, they’re not typical hallmarks of chronic right-sided failure, and headache or nausea aren’t specific findings for this condition. You may also see signs such as jugular venous distension, hepatomegaly, or ascites, reflecting the widespread venous congestion.