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Congestive Heart Failure (CHF) is defined as a clinical syndrome in which the heart fails to propel blood forward normally, leading to congestion at the systemic or pulmonary flow and diminished blood circulation to the tissues due to decreased cardiac output. (Berkow, M.D.) The outcome is that the heart does not pump sufficient blood to meet the body's needs. CHF can be caused by an assortment of conditions which affect the heart such as: diseases or chemicals that weaken the heart muscle like heart ailments, diseases, or toxins; ailments which cause stiffening of the heart muscle such as hemochromatosis, amyloidosisor coronary heart disease, and long term hypertension; and diseases that increase the oxygen requirement by the body tissue beyond the capability of the heart to supply oxygen-rich blood as in hyperthyroidism or nausea. (Kulick, M.D., along with Shiel Jr., M.D.) CHF can affect many different organs including the lungs, heart, liver, intestines, and adrenal tissues. Symptoms of CHF are widely varied but may include fatigue, edema particularly of their legs and ankles, shortness of breath with minimal effort, and inability to put flat because of reduced respiratory capacity. Increased urination may occur, particularly at nighttime, also due to accumulations of fluid from the liver and intestines nausea, abdominal pain and decreased desire may lead to. (Kulick, M.D., and Shiel Jr., M.D.) Though CHF is an equal opportunity disease, there are a number of differences noted between women and men, one of which is that women tend to come up with CHF later in life compared to men. Women more frequently develop diastolic heart failure as opposed to systolic. Women frequently suffer more outward shortness of breath and swelling of the ankles than do men, and at g.. .