Skeletal muscle function is impaired in heart failure patients due, in part, to loss of myofibrillar protein content, in particular myosin. In the present study, we utilized small-amplitude sinusoidal analysis for the first time in single human skeletal muscle fibres to measure muscle mechanics, including cross-bridge kinetics, to determine if heart failure further impairs contractile performance by altering myofibrillar protein function. Patients with chronic heart failure (n = 9) and controls (n = 6) were recruited of similar age and physical activity to diminish the potentially confounding effects of ageing and muscle disuse. Patients showed decreased cross-bridge kinetics in myosin heavy chain (MHC) I and IIA fibres, partially due to increased myosin attachment time (t on ). The increased t on compensated for myosin protein loss previously found in heart failure patients by increasing the fraction of the total cycle time myosin is bound to actin, resulting in a similar number of strongly bound cross-bridges in patients and controls. Accordingly, isometric tension did not differ between patients and controls in MHC I or IIA fibres. Patients also had decreased calcium sensitivity in MHC IIA fibres and alterations in the viscoelastic properties of the lattice structure of MHC I and IIA fibres. Collectively, these results show that heart failure alters skeletal muscle contraction at the level of the myosin-actin cross-bridge, leading to changes in muscle mechanics which could contribute to impaired muscle function. Additionally, we uncovered a unique kinetic property of MHC I fibres, a potential indication of two distinct populations of cross-bridges, which may have important physiological consequences. Abbreviations A, A-process magnitude; B, B-process magnitude; C, C-process magnitude; CSA, cross-sectional area; E e , elastic modulus; E v , viscous modulus; f , frequency of the length perturbations; F, force; F/CSA, tension; HF, heart failure; k, A-process unitless exponent; L, fibre length; L amp , length oscillation amplitude; MHC, myosin heavy chain; MLC, myosin light chain; n, Hill coefficient; P i , phosphate; t, time needed to perform length perturbations; t on , average myosin attachment time; t 3 , time from the start of stretch activation to the peak tension; Y (ω), complex modulus at peak calcium activation; L, fibre length change; L/L, fibre strain; ω, 2π × the frequency of the length perturbation; 2πb, B-process characteristic rate; 2πc, C-process characteristic rate.