What is congestive heart failure?

Congestive heart failure (CHF) is a chronic progressive condition that affects the pumping power of your
heart muscles. While often referred to simply as “heart failure,” CHF specifically refers to the stage in
which fluid builds up around the heart and causes it to pump inefficiently.

You have four heart chambers. The upper half of your heart has two atria, and the lower half of your
heart has two ventricles. The ventricles pump blood to your body’s organs and tissues, and the atria
receive blood from your body as it circulates back from the rest of your body.

CHF develops when your ventricles can’t pump enough blood volume to the body. Eventually, blood and
other fluids can back up inside your:

 lungs

 abdomen

 liver

 lower body

CHF can be life-threatening. If you suspect you or someone near you has CHF, seek immediate medical
treatment.

What are the most common types of CHF?

Left-sided CHF is the most common type of CHF. It occurs when your left ventricle doesn’t properly
pump blood out to your body. As the condition progresses, fluid can build up in your lungs, which makes
breathing difficult.

There are two kinds of left-sided heart failure:

 Systolic heart failure occurs when the left ventricle fails to contract normally. This reduces the
level of force available to push blood into circulation. Without this force, the heart can’t pump
properly.

 Diastolic failure, or diastolic dysfunction, happens when the muscle in the left ventricle
becomes stiff. Because it can no longer relax, the heart can’t quite fill with blood between beats.

Right-sided CHF occurs when the right ventricle has difficulty pumping blood to your lungs. Blood backs
up in your blood vessels, which causes fluid retention in your lower extremities, abdomen, and other
vital organs.

It’s possible to have left-sided and right-sided CHF at the same time. Usually, the disease starts in the left
side and then travels to the right when left untreated.