### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
HELLO,I have congestive heart failure,for reasons unknown,I do have a team of doctors trying to figure out,I dont have blood presure problems nor do i have thyroid ,no colesteral,but my symptons are edma, pulmanry stenosis,mitral vavle,all are mild symptons.I wonder if my type of work has anythihg to do with it. I have worked in boilers,chemical plants,and ship yards,44 year old female

### output:

Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: occupation may be related, but more investigations needed to be done.pulmonary stenosis is a cause of right sided heart failure, not related to occupation.*Explanation: My opinion is that congestive heart failure is multifactorial disease: structural. Ischemia, hypertension, metabolic syn Chat Doctor. Symptoms include : dyspnea, palpitations, easy navigability.echocardiogram and other imaging investigations is crucial to diagnose and know the etiology of the case. I suggest my patients the following : exposure to certain chemicals at work, especially in shipyards, for a long time is risk factor to many occupational diseases, like lung fibrosis, asbestos related lung diseases and that alone may lead to heart failure. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about their respiratory functions, also specific data regarding echocardiography.*Conclusion: I suggest you check for respiratory functions, ask your physician about risk of occupational exposure at your work.  If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.