I believe the answer is A
Moods such as tension, fatigue, anger and vigor are all positively affected by exercise. Exercising can improve the way you perceive your physical condition, athletic abilities and body image. Enhanced self-esteem is another benefit.
A congestive heart failure is a condition in which the blood vessels of the heart are not functioning appropriately due to blockages caused by excess fat, hereditary conditions, and poor lifestyle habits.
Ultimately it affects all the body systems and processes because the heart is the organ necessary in pumping blood throughout the body and supplying it with ample oxygen and nutrients. Without the proper functions of the heart, the organ systems will also malfunction causing other complications that may eventually lead to a person's death.