Background: chronic kidney disease can lead to end stage renal disease which would require the patient to be on dialysis. Kidney diseases predispose patients to many complications, such as cardiovascular, hematological, endocrinological, and others. For a patient who is on dialysis, the damaging processes on the cardiovascular system resulting in congestive heart failure are accelerated, making it the biggest cause of mortality. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 2001, through February 2017. The following search terms were used: chronic kidney disease, end stage renal disease, congestive heart failure, indications of dialysis, hemodialysis, complications of dialysis, congestive heart failure in dialysis patients.Aim: in this review, we aim to evaluate the incidence, prevalence, pathogenesis, and outcome of congestive heart failure in a patient who is on dialysis due to chronic kidney disease. Conclusion: Congestive heart failure and chronic kidney disease patients on dialysis have a very bad prognosis of only three years, and there has been no improvement in prognosis from over twenty years. More studies and researches must be conducted in this topic in order to come up with better forms of therapy in order to decrease mortality and improve quality of life.