When the heart receives less blood than it needs, its rhythm becomes more demanding on the muscle itself. The heart relies on a steady stream of oxygen rich blood to work smoothly, and when that flow dips, the muscle must push harder to do the same job. Bit by bit this extra strain begins to wear down the heart’s strength, making normal activity feel less effortless than before. As this shortage continues, the heart does not bounce back as easily between beats. Small regions inside the muscle be
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