History & Exam: If there is congestive heart failure, it is a heart problem. Congestive heart failure is diagnosed by a thorough history and physical examination. Feet/ankle swelling without congestive heart failure would be attributed to excess fluid +/- venous insufficiency (problem with the veins).
Answered 8/26/2011
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Clinically: And by a variety of testing...Chest cray, ekg, echocardiogram, stress testing & sometimes angiogram.
Answered 9/17/2013
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