Cardiology Conference-CVC 2026

Right heart failure happens when the right ventricle can’t pump blood effectively into the pulmonary circulation, which results in systemic venous congestion. The primary culprits? Left-sided heart failure, pulmonary hypertension, chronic lung disease (cor pulmonale), congenital heart defects, and right ventricular infarction. Patients typically present with symptoms like peripheral edema, abdominal bloating, ascites, fatigue, jugular venous distension, and hepatomegaly. Early detection is crucial, as progression can lead to complications such as hepatic congestion, renal dysfunction, and significant reductions in quality of life. Clinicians rely on physical examination, echocardiography, cardiac MRI, and laboratory studies to assess right ventricular performance and pinpoint underlying causes.

Management strategies for right heart failure focus first on addressing the underlying pathology, reducing fluid overload, and supporting right ventricular function. Diuretics are commonly used to manage volume status, and vasodilators may be considered, especially in the context of pulmonary hypertension. If left heart dysfunction is present, optimization is essential. Non-pharmacologic interventions, including dietary sodium restriction, routine weight monitoring, and physical activity, also play a supportive role. In severe or refractory cases, advanced therapies such as mechanical circulatory support or heart transplantation might be necessary. Ultimately, early recognition, targeted interventions, and ongoing follow-up are key to improving clinical outcomes and preserving right ventricular function in patients with right heart failure.