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  • Heart Failure and Thermoregulatory Control: Can Patients With Heart Failure Handle the Heat?

    Author(s)
    Balmain, Bryce N
    Sabapathy, Surendn
    Jay, Ollie
    Adsett, Julie
    Stewart, Glenn M
    Jayasinghe, Rohan
    Morris, Norman R
    Griffith University Author(s)
    Sabapathy, Surendran
    Morris, Norman
    Jayasinghe, Rohan
    Stewart, Glenn
    Balmain, Bryce N.
    Adsett, Julie A.
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    Upon heat exposure, the thermoregulatory system evokes reflex increases in sweating and skin blood flow responses to facilitate heat dissipation and maintain heat balance to prevent the continuing rise in core temperature. These heat dissipating responses are mediated primarily by autonomic and cardiovascular adjustments; which, if attenuated, may compromise thermoregulatory control. In patients with heart failure (HF), the neurohumoral and cardiovascular dysfunction that underpins this condition may potentially impair thermoregulatory responses and, consequently, place these patients at a greater risk of heat-related illness. ...
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    Upon heat exposure, the thermoregulatory system evokes reflex increases in sweating and skin blood flow responses to facilitate heat dissipation and maintain heat balance to prevent the continuing rise in core temperature. These heat dissipating responses are mediated primarily by autonomic and cardiovascular adjustments; which, if attenuated, may compromise thermoregulatory control. In patients with heart failure (HF), the neurohumoral and cardiovascular dysfunction that underpins this condition may potentially impair thermoregulatory responses and, consequently, place these patients at a greater risk of heat-related illness. The aim of this review is to describe thermoregulatory mechanisms and the factors that may increase the risk of heat-related illness in patients with HF. An understanding of the mechanisms responsible for impaired thermoregulatory control in HF patients is of particular importance, given the current and projected increase in frequency and intensity of heat waves, as well as the promotion of regular exercise as a therapeutic modality. Furthermore, novel therapeutic strategies that may improve thermoregulatory control in HF, and the clinical relevance of this work in this population will be discussed.
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    Journal Title
    Journal of Cardiac Failure
    Volume
    23
    Issue
    8
    DOI
    https://doi.org/10.1016/j.cardfail.2017.04.003
    Subject
    Cardiorespiratory Medicine and Haematology not elsewhere classified
    Cardiorespiratory Medicine and Haematology
    Clinical Sciences
    Nursing
    Publication URI
    http://hdl.handle.net/10072/345169
    Collection
    • Journal articles

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