Increased systemic venous pressure is a sign of which type of heart failure?

Increased systemic venous pressure is primarily associated with right-sided heart failure. This condition occurs when the right ventricle is unable to effectively pump blood to the lungs for oxygenation. As a result, blood backs up in the systemic venous circulation, leading to elevated pressures in the veins. This manifests as symptoms such as peripheral edema, jugular venous distention, and hepatic congestion.

In contrast, left-sided heart failure typically results in pulmonary congestion as the left ventricle struggles to pump blood effectively to the systemic circulation. Chronic heart failure encompasses both right and left heart failure but does not specifically designate an increase in venous pressure. Diastolic heart failure, or heart failure with preserved ejection fraction, can lead to elevated pressures in the pulmonary circulation rather than the systemic circulation. Therefore, the manifestation of increased systemic venous pressure strongly indicates right-sided heart failure.