Which of the following can contribute to the development of congestive heart failure?

Chronic hypertension is a significant contributor to the development of congestive heart failure because it places excessive strain on the heart. Over time, the added pressure required to pump blood against high resistance leads to changes in the heart's structure and function. The heart may become enlarged and less efficient at pumping blood, ultimately resulting in heart failure.

In contrast, dietary fiber intake, regular exercise, and a low cholesterol diet are generally associated with healthier cardiovascular outcomes. Increased dietary fiber can help manage cholesterol levels and improve heart health, regular exercise strengthens the heart and improves its efficiency, while a low cholesterol diet is beneficial for maintaining healthy blood pressure and overall heart health. Therefore, chronic hypertension stands out as a key risk factor for congestive heart failure development.