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congestive heart failure symptoms causes and more congestive heart failure chf is a chronic progressive condition that affects the pumping power of your heart muscle while often referred to simply as heart failure chf specifically refers to the stage in which fluid builds up within the heart and causes it to pump inefficiently you have four heart chambers the upper half of your heart is made up of two atria and the lower half of your heart is made up of two ventricles the ventricles pump blood to your bodyamp;#39;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 canamp;#39;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 you know has chf seek immediate medical treatment what are the symptoms of congestive heart failure in the early stages of chf you most