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Compensation in heart failure refers to the body's attempt to make up for the decreased ability of the heart to meet its demands by increasing blood supply. However, this can lead to decompensation when the body can no longer compensate, resulting in worsening symptoms. Ways to compensate include increasing stroke volume or heart rate, which in turn increases cardiac output. One way to do this is by activating the sympathetic nervous system, akin to the fight or flight response.