What causes heart failure?

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    Last Updated: May 16, 2025

    Chronic congestive heart failure is primarily caused by coronary artery disease and heart attacks. Other contributing factors include uncontrolled arrhythmia, cardiomyopathy, heart valve diseases, hypertension, diabetes, and obesity.

    Chronic congestive heart failure is caused by abnormal structural and functional changes to the heart and a number of triggering factors. Most commonly, heart failure is caused by coronary artery disease (CAD) and heart attack,[1] which lead to an initial injury to the heart and numerous downstream effects. Other triggering factors of heart failure include:[1]

    • Arrhythmia (uncontrolled)
    • Myocarditis (inflammation of the heart caused by infection or autoimmune disease)
    • Cardiomyopathy
    • Chronic obstructive pulmonary disease (COPD)
    • Congenital heart disease
    • Diabetes
    • Endocarditis
    • Heart valve diseases
    • Hypertension
    • Obesity
    • Pulmonary embolism (blood clot in the lungs)