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now again we talked about the different kinds of heart failure systolic and diastolic but sometimes there are definitions based upon which ventricle is in the most trouble you most common is left-sided heart failure thats because the left ventricle has been injured but in some conditions such as severe lung disease with high pressures in the lung you may just see isolated right-sided heart failure so lets think about this for a moment with left-sided heart failure the backup is going to be into the lungs patients get flu in the lungs and theyre short of breath so the edema is in the lungs with left-sided heart failure with right-sided heart failure the back up is into the veins so you often see patients with fluid in the abdomen fluid in the in the legs so called it peripheral edema and the left ventricle may be working just fine but its not getting any blood from the right ventricle because the right ventricle is failing and of course its obvious what the left ventricle puts out