The backward effect of total heart failure may cause several complications or symptoms. These typically include:
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Pulmonary congestion: Increased pressure in the pulmonary circulation can lead to fluid accumulation in the lungs, causing shortness of breath and possibly pulmonary edema.
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Peripheral edema: Due to increased venous pressure, fluid may leak into surrounding tissues, leading to swelling, particularly in the legs and ankles.
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Jugular venous distention: Elevated central venous pressure can cause distention of the jugular veins.
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Ascites: Increased pressure in the abdominal veins may lead to fluid accumulation in the abdominal cavity.
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Hepatomegaly: Increased pressure in the hepatic circulation may cause liver enlargement.
These effects are indicative of heart failure, particularly when there is a failure in the heart's ability to pump effectively, leading to fluid backing up in the systems affected.