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Yes, it is considered a sign/ symptom of CHF if the heart has been damaged on the left side. It is caused by fluid backing up into the lungs (pulmonary edema) because the left side of the heart is not able to keep up with the amount of blood being pumped from the healthy right side. The crackling sound is caused by the air being pushed through this fluid.

If the heart has been damaged on the right side, you will see a build up of fluids usually in the ankles causing considerable swelling.

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Q: Is it normal to have rales in having a congestive heart failure?
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