Webcrackles (rales), tubular breath sounds and consolidation s3 heart sound, sinus tachycardia, decreases exercise tolerance and physical work capacity. Dyspnea, tachypnea, paroxysmal nocturnal dyspnea, orthopnea, cough, fatigue. People with heart failure may have severe symptoms. Some may need a heart transplant or a device to help the heart pump. Webstage c includes people who have heart disease and heart failure symptoms such as shortness of breath, persistent cough, swelling in the legs, feet, or abdomen, fatigue,. Webcongestive heart failure (chf) is a condition in which the heart does not beat strong enough to supply a sustained amount of blood flow throughout the body.