Relationships among norepinephrine levels, exercise capacity, and chronotropic responses in heart failure patients.
Title: | Relationships among norepinephrine levels, exercise capacity, and chronotropic responses in heart failure patients. |
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Authors: | Grosman-Rimon, Liza, Wright, Evan, Sabovich, Solomon, Rimon, Jordan, Gleitman, Sagi, Sudarsky, Doron, Lubovich, Alla, Gabizon, Itzhak, Lalonde, Spencer D., Tsuk, Sharon, McDonald, Michael A., Rao, Vivek, Gutterman, David, Jorde, Ulrich P., Carasso, Shemy, Kachel, Erez |
Source: | Heart Failure Reviews; Jan2023, Vol. 28 Issue 1, p35-45, 11p |
Subject Terms: | AEROBIC capacity, HEART failure patients, NORADRENALINE, SYMPATHETIC nervous system, HEART beat |
Abstract: | In heart failure (HF) patients, the pathophysiological mechanisms of severe exercise intolerance and impaired exercise capacity are related to both central and peripheral abnormalities. The central abnormalities in HF patients include impaired cardiac function and chronotropic incompetence (CI). Indeed, CI, the inability to adequately increase heart rate (HR) from rest to exercise often exhibited by HF patients, is related to activation of the sympathetic nervous system (SNS) yielding a rise in circulating norepinephrine (NE). CI may result from downregulation of β-adrenergic receptors, β-blocker usage, high baseline HR, or due to a combination of factors. This paper discusses the role of elevated NE in altering chronotropic responses in HF patients and consequently resulting in impaired exercise capacity. We suggest that future research should focus on the potential treatment of CI with rate-adaptive pacing, using a sensor to measure physical activity, without inducing deleterious hormonal activation of the sympathetic system. [ABSTRACT FROM AUTHOR] |
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Database: | Complementary Index |
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RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10741-022-10232-y Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 35 Subjects: – SubjectFull: AEROBIC capacity Type: general – SubjectFull: HEART failure patients Type: general – SubjectFull: NORADRENALINE Type: general – SubjectFull: SYMPATHETIC nervous system Type: general – SubjectFull: HEART beat Type: general Titles: – TitleFull: Relationships among norepinephrine levels, exercise capacity, and chronotropic responses in heart failure patients. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Grosman-Rimon, Liza – PersonEntity: Name: NameFull: Wright, Evan – PersonEntity: Name: NameFull: Sabovich, Solomon – PersonEntity: Name: NameFull: Rimon, Jordan – PersonEntity: Name: NameFull: Gleitman, Sagi – PersonEntity: Name: NameFull: Sudarsky, Doron – PersonEntity: Name: NameFull: Lubovich, Alla – PersonEntity: Name: NameFull: Gabizon, Itzhak – PersonEntity: Name: NameFull: Lalonde, Spencer D. – PersonEntity: Name: NameFull: Tsuk, Sharon – PersonEntity: Name: NameFull: McDonald, Michael A. – PersonEntity: Name: NameFull: Rao, Vivek – PersonEntity: Name: NameFull: Gutterman, David – PersonEntity: Name: NameFull: Jorde, Ulrich P. – PersonEntity: Name: NameFull: Carasso, Shemy – PersonEntity: Name: NameFull: Kachel, Erez IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 13824147 Numbering: – Type: volume Value: 28 – Type: issue Value: 1 Titles: – TitleFull: Heart Failure Reviews Type: main |
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