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a healthy heart as seen here beats approximately 60 to 100 times a minute providing oxygen-rich blood to the rest of the body the lower-left chamber of the heart called the left ventricle is the main pumping chamber there are many different conditions that can lead to congestive heart failure including a prior heart attack high blood pressure and coronary artery disease any of these can prevent the heart from efficiently pumping blood to the rest of the body as a result the heart may be faster and the ventricle may increase in size becoming an even less effective pump when the kidney sends the reduced blood flow they attempt to compensate by retaining more water and salt this excess fluid retention often causes congestion in the tissues and results in swelling and an increased strain on an already weak heart the progressive effect of the heart failing to properly circulate blood and congestion due to fluid retention is known as congestive heart failure