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A healthy heart beats 60-100 times a minute, with the left ventricle being the main pumping chamber. Various conditions like heart attack, high blood pressure, and coronary artery disease can lead to congestive heart failure, causing inefficient blood pumping. The heart may speed up, ventricle may enlarge, and kidneys may retain water and salt. This excess fluid causes tissue congestion, swelling, and increased strain on the weakened heart. This cycle of poor circulation and fluid retention is congestive heart failure.