Common Symptoms Table 2–3.

Table 2–3. Clinical findings suggesting increased left ventricular end-diastolic pressure.

Tachycardia
Systolic hypotension
Jugular venous distention (> 5–7 cm H2O)
Hepatojugular reflux (> 1 cm)
Crackles, especially bibasilar
Third heart sound
Lower extremity edema
Radiographic pulmonary vascular redistribution or cardiomegaly

These findings are particularly helpful.
Proper abdominal compression for evaluating hepatojugular reflux requires > 30 seconds of sustained right upper quadrant abdominal compression.
Cardiac auscultation of the patient at 45-degree angle in left lateral decubitus position doubles the detection rate of third heart
sounds.
Source: Badgett RG et al. Can the clinical examination diagnose leftsided
heart failure in adults? JAMA. 1997 Jun 4;277(21):1712–9.