Congestive heart failure occurs when the heart cannot pump enough blood to meet the body's needs. It develops gradually as the heart weakens over time. Symptoms include shortness of breath, fatigue, swelling, and coughing. Risk factors include coronary artery disease, high blood pressure, diabetes, and smoking. Diagnosis involves medical history, physical exam, blood tests, ECG, echocardiogram, and imaging. Treatment focuses on medications, lifestyle changes, and devices to help the heart function properly. Those with congestive heart failure require special precautions during dental procedures to avoid stressing the heart.