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when you have heart failure the amount of blood being pumped through your heart and around your body is reduced your heart will adapt in three ways to try and increase your blood flow your heart beats faster to keep the blood moving through it it stretches to expand its size allowing it to hold more blood and it develops thicker muscle to help it pump more blood with each beat these changes in your heart help to increase blood flow around your body however over time these changes known as compensation put more stress on your heart and may actually worsen your heart failure