<P> "Cardiac asthma" or wheezing may occur . </P> <P> Compromise of left ventricular forward function may result in symptoms of poor systemic circulation such as dizziness, confusion and cool extremities at rest . </P> <P> Right - sided heart failure is often caused by pulmonary heart disease (cor pulmonale), which is usually caused by difficulties of the pulmonary circulation, such as pulmonary hypertension or pulmonic stenosis . </P> <P> Physical examination may reveal pitting peripheral edema, ascites, and liver enlargement . Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular reflux . If the right ventricular pressure is increased, a parasternal heave may be present, signifying the compensatory increase in contraction strength . </P>

Right side failure in the heart is characterized by