Nursing Study Guide: Heart Failure (HF) 2026/2027.
1. Definition
Heart Failure (HF) is a clinical condition where the heart cannot
pump enough blood to meet the body’s metabolic needs or can only
do so with increased filling pressures.
It results in poor tissue perfusion and fluid congestion.
2. Types of Heart Failure
A. Based on Side of Heart
Left-Sided Heart Failure
Failure of the left ventricle to pump blood into systemic circulation.
Common effects:
• Pulmonary congestion
• Reduced cardiac output
Key Symptoms
• Dyspnea
• Orthopnea
• Paroxysmal nocturnal dyspnea (PND)
• Pulmonary edema
• Fatigue
Crackles in lungs
•
, Right-Sided Heart Failure
Failure of the right ventricle to pump blood into pulmonary
circulation.
Usually caused by left-sided HF.
Key Symptoms
• Peripheral edema
• Jugular venous distension (JVD)
• Hepatomegaly
• Ascites
• Weight gain
• Dependent edema
B. Based on Cardiac Function
Systolic Heart Failure
• Reduced contractility
• Ejection Fraction (EF) < 40% Heart cannot pump
effectively.
Diastolic Heart Failure
• Impaired ventricular relaxation
• Normal EF but poor filling
3. Common Causes (Etiology)