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A healthy heart beats 60-100 times a minute, pumping oxygen-rich blood from the left ventricle. Congestive heart failure can result from conditions like a heart attack, high blood pressure, or coronary artery disease, causing the heart to pump inefficiently. This can lead to increased heart rate, ventricle enlargement, and fluid retention by the kidneys. Congestion in tissues can cause swelling and worsen heart function, known as congestive heart failure.