This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
Patient history reveals dyspnoea, orthopnea, and edema of the ankle and palpitation. Most likely diagnosis is: 
Select and explain. 
A. Respiratory problem, B. Hepatic failure, C. Uremia, D. Congestive heart failure
D: Congestive heart failure
Answer: D: Congestive heart failure 
Explanation: None