{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T20:01:03Z","timestamp":1770062463958,"version":"3.49.0"},"reference-count":17,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"published-print":{"date-parts":[[1996,7]]},"abstract":"<jats:p>OBJECTIVES: Plasma hormones at rest in patients with untreated severe congestive cardiac failure are similar to those occurring during heavy exercise in healthy people. This study examines the hypothesis that the neuroendocrine effects of exercise are modified in untreated congestive cardiac failure. DESIGN: The effect of lying, standing, upright exercise, and recovery on several plasma hormones was measured in healthy controls and 2 groups of patients with severe untreated heart failure. The level of exercise was the same in all groups and low enough to be within the capacity of patients with severe failure. PATIENTS: There were 12 healthy controls, 9 patients with untreated severe congestive cardiac failure caused by myocardial disease, and 12 patients with untreated constrictive pericarditis. SETTING: A tertiary referral centre in North India. RESULTS: Heart rate, noradrenaline, renin activity, aldosterone, cortisol, growth hormone and atrial natriuretic peptide (ANP) were higher in the 2 groups of patients than in the healthy controls during both rest and exercise (P &lt; 0.01 for both comparisons). In general, the effects of this mild degree of exercise were no greater than those of standing. The increase in heart rate during exercise was greater in the group with constrictive pericarditis than in the controls (P = 0.04) and (non-significantly) in congestive heart failure. Apart from these differences the pattern of responses to standing and exercise was similar in the three groups. CONCLUSIONS: While there was evidence of a broad neuroendocrine activation in patients with congestive cardiac failure, the only abnormal increase during exercise (of marginal significance) was found for renin activity in those with myocardial disease. In patients with untreated congestive failure, a substantially normal endocrine response to exercise was superimposed on abnormal resting concentrations.<\/jats:p>","DOI":"10.1136\/hrt.76.1.50","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:46:00Z","timestamp":1190137560000},"page":"50-55","source":"Crossref","is-referenced-by-count":12,"title":["Neuroendocrine response to standing and mild exercise in patients with untreated severe congestive heart failure and chronic constrictive pericarditis."],"prefix":"10.1136","volume":"76","author":[{"given":"R.","family":"Ferrari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I. S.","family":"Anand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Ceconi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"De Giuli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. A.","family":"Poole-Wilson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Harris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1996,7,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1161\/01.CIR.80.2.299","article-title":"Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes and plasma hormones in untreated congestive cardiac failure","volume":"80","author":"Anand, I.S.; Ferrari, R.; Kaira, G.S.; Wahi, P.L.; Poole-Wilson, P.","year":"1989","unstructured":"Anand IS, Ferrari R, Kaira GS, Wahi PL, Poole-Wilson P, et al. Edema of cardiac origin. Studies of body water and sodium, renal function, hemodynamic indexes and plasma hormones in untreated congestive cardiac failure. Circulation 1989;80:299-305.","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1161\/01.CIR.83.6.1880","article-title":"Pathogenesis of edema in constrictive pericarditis studies of body water and sodium, renal function, hemodynamics and plasma hormones before and after pericardictomy","volume":"83","author":"Anand, I.S.; Ferrari, R.; Kalra, G.S.; Wahi, P.L.; Poole-Wilson, P.; Harris, P.","year":"1991","unstructured":"Anand IS, Ferrari R, Kalra GS, Wahi PL, Poole-Wilson P, Harris P. Pathogenesis of edema in constrictive pericarditis studies of body water and sodium, renal function, hemodynamics and plasma hormones before and after pericardictomy. Circulation 1991;83:1880-7.","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"370","DOI":"10.7326\/0003-4819-101-3-370","article-title":"The neurohumoral axis in congestive heart failure","volume":"101","author":"Francis, G.; Goldsmith, S.; Levine, T.; Olivari, M.; Cohn, J.","year":"1984","unstructured":"Francis G, Goldsmith S, Levine T, Olivari M, Cohn J. The neurohumoral axis in congestive heart failure. Ann Intern Med 1984;101:370-7.","journal-title":"Ann Intern Med"},{"key":"ref_4","first-page":"131","article-title":"Temporal relations of the endocrine response to exercise","volume":"2","author":"Ferrari, R.; Ceconi, C.; Rodella, A.; De Guili, F.; Panzali, A.; Harris, P.","year":"1991","unstructured":"Ferrari R, Ceconi C, Rodella A, De Guili F, Panzali A, Harris P. Temporal relations of the endocrine response to exercise. 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Am J Cardiol 1982;49:1152-6.","journal-title":"Am J Cardiol"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/0002-9343(86)90548-6","article-title":"Neurohumoral activation during exercise in congestive heart failure","volume":"81","author":"Kirlin, P.; Grekin, R.; Das, S.; Ballor, E.; Johnson, T.; Pitt, B.","year":"1986","unstructured":"Kirlin P, Grekin R, Das S, Ballor E, Johnson T, Pitt B. Neurohumoral activation during exercise in congestive heart failure. Am 7 Med 1986;81:623-9.","journal-title":"Am 7 Med"},{"key":"ref_8","article-title":"Untreated heart failure: clinical and neuroendocrine effects of introducing diuretics","volume-title":"Br Heart","author":"Bayliss, J.; Norell, M.; Canepa-Anson, R.; Sutton, G.; PooleWilson, P.","year":"1987","unstructured":"Bayliss J, Norell M, Canepa-Anson R, Sutton G, PooleWilson P. Untreated heart failure: clinical and neuroendocrine effects of introducing diuretics. 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Clin Chem 1989;35: 331-2.","journal-title":"Clin Chem"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1093\/clinchem\/35.7.1431","article-title":"Improved radioimmunoassay of atrial peptide in plasma","volume":"35","author":"Poiesi, C.; Rodella, A.; Mantero, G.; Cannela, G.; Ferrari, R.; Albertini, A.","year":"1989","unstructured":"Poiesi C, Rodella A, Mantero G, Cannela G, Ferrari R, Albertini A. Improved radioimmunoassay of atrial peptide in plasma. Clin Chem 1989;35:1431-4.","journal-title":"Clin Chem"},{"key":"ref_12","first-page":"190","article-title":"Congestive cardiac failure: central role of the arterial blood pressure","volume":"58","author":"Harris, P.","year":"1987","unstructured":"Harris P. Congestive cardiac failure: central role of the arterial blood pressure. 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Br Heart 7 1993;70:357-62.","journal-title":"Br Heart"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/hrt.76.1.50","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T18:20:42Z","timestamp":1760725242000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/hrt.76.1.50"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,7]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1996,7,1]]},"published-print":{"date-parts":[[1996,7]]}},"alternative-id":["10.1136\/hrt.76.1.50"],"URL":"https:\/\/doi.org\/10.1136\/hrt.76.1.50","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"value":"1355-6037","type":"print"},{"value":"1468-201X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,7]]}}}