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A healthy heart beats 60 to 100 times a minute, with the left ventricle being the main pumping chamber. Conditions such as heart attack, high blood pressure, and coronary artery disease can lead to congestive heart failure, causing the heart to pump less efficiently. Reduced blood flow from the kidneys leads to water and salt retention, causing fluid buildup in tissues and swelling, putting further strain on the heart. This progressive effect is known as congestive heart failure.