SNF PEPPER Reports Available for Download. To obtain your SNF's PEPPER, the Chief Executive Officer, President, or Administrator of your SNF should: 1. Review the Secure PEPPER Access Guide. 2. Visit the Secure PEPPER Access page at PEPPERresources.org. 3. Review the instructions and obtain the information required to authenticate access. 4. Click on the button to Access the Secure Portal. 5.
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: Shortness of breath (dyspnea) when you exert yourself or when you lie down.
This malformation of the valve is known as tricuspid valve dysplasia and results in regurgitation of blood back into the atrium. This abnormal blood flow increases the work load of the right-side of the heart resulting in enlargement of the right atrium and ventricle which eventually leads to right-sided congestive heart failure.