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Heart Fail Clin. 2019 Jul;15(3):371-375. doi: 10.1016/j.hfc.2019.02.006. Epub 2019 Apr 5.

Prognostic Value of Hormonal Abnormalities in Heart Failure Patients.

Author information

1
IRCCS SDN, Naples, Italy. Electronic address: paolagargiulo@hotmail.it.
2
IRCCS SDN, Naples, Italy.
3
Department of Advanced Biomedical Sciences, Section of Cardiology, Federico II University of Naples, Naples, Italy.
4
Center for Congenital Heart Disease, University Hospital Inselspital, University of Bern, Bern, Switzerland.

Abstract

The model used to explain the pathophysiologic substrate and progressive worsening in chronic heart failure (CHF) is based on the hyperactivity of renin-angiotensin-aldosterone system and adrenergic pathway. Although the neurohormonal medical approach has many advantages, it has several pitfalls, as demonstrated by high rates of CHF mortality and hospitalization. A growing body of evidence has led to the hypothesis that CHF is a multiple hormone deficiency syndrome, characterized by a reduced anabolic drive that has relevant functional and prognostic implications. The aim of this review is to summarize the evidence of reduced drive of main anabolic axes in CHF.

KEYWORDS:

Chronic heart failure; Hormonal abnormalities; Multiple hormone deficiency syndrome

PMID:
31079695
DOI:
10.1016/j.hfc.2019.02.006
[Indexed for MEDLINE]

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