Background: Based on Basic Health Research (RISKESDAS) the prevalence of heart failure in Indonesia in 2013 was 530,068 people. The cause of heart failure is difficult to recognize because of the variety of non-specific clinical conditions. Echocardiography has an important role in diagnosing heart failure because of its ability to determine intracardiac hemodynamics and see the structural causes of heart failure. Heart failure can occur with or without pulmonary edema, but both have different treatments, therefore appropriate diagnostic and therapeutic efforts are needed by the clinician. Method: This study has an observational analytic design with retrospective data collection using a cross sectional approach. The study sample was 51 medical records of patients who had been diagnosed with congestive heart failure based on echocardiogram Result: Of 33 patients (64.7%) who had heart failure 9 of them had pulmonary edema (17.6%) and 24 had no pulmonary edema (47.1%). Whereas from 18 patients (35.3%) who did not experience heart failure 2 of them had pulmonary edema (3.9%) and 16 had no pulmonary edema (31.4%). Conclusion: From the research that has been done there is no relationship between the diagnosis of congestive heart failure based on echocardiogram with chest radiographs of pulmonary edema (p = 0.180).