Very sad. I didn't realize the extent of her troubles with addiction. Wow. Most likely led to the congestive heart failure. RIP.
Seems like a possible progression.
Back in 1975 she was arrested in Toronto for heroin possession so the drug problems went back a a long time.
She admits that she was a long time heroin and crack addict and shared needles. Sometime in the early 200's she discovered she had Hepatitis C. The chemo and antiviral drugs caused severe damage to her kidneys, such that she was on dialysis. These drugs are also known to cause long term heart problems. She received a kidney transplant from a fan. However, her system never recovered and congestive heart failure is consistent with all these (known) health problems.
All arising from drug use.
So sad because she really seemed like a nice, decent woman and obviously
incredibly talented and her music brought a lot of joy to the lives of many people.