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Cough. Increase text size / Decrease text size | Print this page | Email this page. You may experience a persistent cough or wheezing (a whistling sound in the lungs or laboured breathing) due to your heart failure. The wheezing is similar to asthma but has a different cause in heart failure. Sometimes people with heart failure cough up phlegm, a thick, mucous-like substance that may be tinged with blood. This often happens with a lung infection (pneumonia). The coughing or wheezing is due to the fluid accumulation or congestion, in the lungs, which increases the effort of breathing.
However, not all heart failure is congestive. You might have shortness of breath or weakness due to heart failure and not have any fluid building up. Heart failure can involve the left side (left ventricle), right side (right ventricle) or both sides of your heart.n some cases of heart failure, your heart muscle may become damaged and weakened, and the ventricles stretch (dilate) to the point that the heart can't pump blood efficiently throughout your body. Over time, the heart can no longer keep up with the normal demands placed on it to pump blood to the rest of your body.