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If it's the left side of the heart which has failed, accumulation of liquid in and round the lungs will cause the patient to experience breathing difficulties. If it's the right side that fails the surplus liquid amasses in the venous system, giving the patient a generalized edema that becomes worse as their status deteriorates.
Dyspnea is the common symptom in congestive heart failure, though the extremity will change from patient to patient.

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