 [ Symptoms ] i got married about 2 months ago my husband is behavior prior to the wedding was a bit odd dancing around signing a pre nup secretive about his business and business ventures being adversarial i thought much of it was jitters two days after the honeymoon i found out from a family friend that my husband lied to me about his college education  he never graduated  although he told me he was an honors grad from columbia at first he denied it and tried to convince me that i was crazy and he never told me he graduated when i showed him a copy of the wedding announcement he typed up for himself stating he graduated magna cum laude from columbia he verbally assaulted me and refused to speak to me interact etc i just feel that his credibility is shot he is an entrepreneur who was rarely employed by others so checking his history is difficult we went to a couples counselor who felt that my request to see written proof of his financial status and prior businesses was reasonable but my husband does not feel compelled to come clean or make any attempt to help rebuild the broken trust is there anything else i can do i fear there may be some real pathology here [ Disease ] many disease processes can impair the pumping efficiency of the heart to cause congestive heart failure in the united states the most common causes of congestive heart failure are coronary artery disease high blood pressure hypertension longstanding alcohol abuse disorders of the heart valves less common causes include viral infections of the stiffening of the heart muscle thyroid disorders disorders of the heart rhythm and many others it should also be noted that in patients with underlying heart disease taking certain medications can lead to the development or worsening of congestive heart failure this is especially true for those drugs that can cause sodium retention or affect the power of the heart muscle examples of such medications are the commonly used nonsteroidal antiinflammatory drugs nsaids which include ibuprofen motrin and others and naproxen aleve and others as well as certain steroids some medication for diabetes such as rosiglitazone [avandia] or pioglitazone [actos] and some calcium channel blockers