The neurohormonal hypothesis: a theory to explain the mechanism of disease progression in heart failure

M Packer - Journal of the American College of Cardiology, 1992 - Elsevier
Because physicians have traditionally considered heart failure to be a hemodynamic
disorder, they have described the syndrome of heart failure using hemodynamic concepts …

Pathophysiology of chronic heart failure

GS Francis - The American journal of medicine, 2001 - Elsevier
Heart failure is a changing paradigm. The hemodynamic model, which served our needs
well from the 1950s through the early 1980s, has now been largely abandoned, except for …

Evolution of the neurohormonal hypothesis to explain the progression of chronic heart failure

M Packer - European heart journal, 1995 - academic.oup.com
During the last 20 years, physicians have generally regarded heart failure as a
haemodynamic disorder in an attempt to explain patients' symptoms and disability. This …

Heart failure therapy at a crossroad: are there limits to the neurohormonal model?

MR Mehra, PA Uber, GS Francis - Journal of the American College of …, 2003 - jacc.org
The advent of neurohormonal blockade in heart failure (HF) has been an overwhelming
success, but current evidence points to a ceiling effect as newer neurohormonal targets are …

Neurohumoral control mechanisms in congestive heart failure

JN Cohn, TB Levine, GS Francis, S Goldsmith - American heart journal, 1981 - Elsevier
Neurohumoral vasoconstrictor systems may play an important role in the hemodynamic
derangement and natural history of congestive heart failure (CHF) by raising impedance to …

Basic mechanisms in heart failure: the cytokine hypothesis

Y Seta, K Shan, B Bozkurt, H Oral, DL Mann - Journal of cardiac failure, 1996 - Elsevier
Although the development and progression of heart failure have traditionally been viewed
as hemodynamic disorders, there is now an increasing awareness that the syndrome of …

The role of cytokines in disease progression in heart failure

K Shan, K Kurrelmeyer, Y Seta, F Wang… - Current Opinion in …, 1997 - journals.lww.com
Recent studies have identified the importance of biologically active molecules such as
neurohormones as mediators of disease progression in heart failure. More recently it has …

Neuroendocrine activation in heart failure is modified by endurance exercise training

RW Braith, MA Welsch, MS Feigenbaum… - Journal of the American …, 1999 - jacc.org
OBJECTIVES The purpose of this study was to determine whether endurance exercise
training could buffer neuroendocrine activity in chronic heart failure patients …

The role of neurohormonal activation in chronic heart failure and postmyocardial infarction

A Sigurdsson, K Swedberg - American heart journal, 1996 - Elsevier
Chronic heart failure is a disabling and lethal disorder with high incidence and prevalence in
Western societies. Treatment with angiotensin-converting enzyme (ACE) inhibitors and heart …

Neurohumoral mechanisms involved in congestive heart failure

GS Francis - The American journal of cardiology, 1985 - Elsevier
Congestive heart failure (CHF) promotes an array of biologic changes that are largely
designed to compensate for reduced flow. These include activation of the sympathetic …