Chronic left-sided HF: symptoms Respiratory distress ■ Exertional dyspnea Paroxysmal nocturnal dyspnea Orthopnea Acute pumonary edema Cough(nonproductive), and hemoptysis Reduced exercise capacity ■ Fatigue and wea kness ■ Urinary symptoms10 Chronic left-sided HF :symptoms Respiratory distress Exertional dyspnea Paroxysmal nocturnal dyspnea Orthopnea Acute pumnonary edema Cough (nonproductive), and hemoptysis Reduced exercise capacity Fatigue and weakness Urinary symptoms