Current Heart Failure Reports

, Volume 11, Issue 2, pp 139–145 | Cite as

Cardiovascular Responses to Heat Stress in Chronic Heart Failure

  • Jian Cui
  • Lawrence I. Sinoway
Pathophysiology: Neuroendocrine, Vascular, and Metabolic Factors (SD Katz, Section Editor)


Clinical reports have suggested that patients with heart diseases may be particularly vulnerable to heat injury. This review examines the effects of heat stress on cardiovascular and autonomic functions in patients with chronic heart failure (CHF). Laboratory investigations have shown that cutaneous vasodilator responses to heating are impaired in patients, whereas activation of skin sympathetic nerve activation is not attenuated in CHF as compared to controls. Attenuated cutaneous vasodilation may increase the risk of a heat related illness when CHF subjects are exposed to hyperthermic conditions.


Heart failure Autonomic control Thermoregulation Skin blood flow Skin sympathetic nerve activity Cutaneous vasodilation Heat stress 


Compliance with Ethics Guidelines

Conflict of Interest

Jian Cui and Lawrence I. Sinoway declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any new studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Penn State Hershey Heart and Vascular Institute, H047, Milton S. Hershey Medical CenterPennsylvania State University College of MedicineHersheyUSA

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