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Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: 1  Shortness of breath (dyspnea) when you exert yourself or when you lie down. 2  Fatigue and weakness. 3  Swelling (edema) in your legs, ankles and feet. 4  Rapid or irregular heartbeat. 5  Reduced ability to exercise. 6  Persistent cough or wheezing with white or pink blood-tinged phlegm.
Symptoms and Signs. People with congestive heart failure sometimes do not suspect a problem with their heart or have symptoms that may not obviously be from the heart. 1  Early symptoms may include shortness of breath, cough, or a feeling of not being able to get a deep breath, especially when lying down. Shortness of breath. 2  If a person has congestive heart failure, he or she may have difficulty breathing (dyspnea), especially when he or she is active. 3  Ordinary activities, such as sweeping or even walking around the house, may be difficult or impossible.