Congestive heart failure occurs when the heart cannot pump enough blood to meet the body's needs. It results from any structural or functional impairment that weakens the heart's ability to fill or eject blood. Common causes include high blood pressure, coronary artery disease, and cardiomyopathy. There are two main types: left-sided failure where blood backs up in the lungs, and right-sided failure where blood backs up in the veins. Signs and symptoms result from fluid buildup and include shortness of breath, fatigue, and swelling. Management focuses on treating the underlying cause, reducing fluid buildup, and supporting heart function.