TNF and congestive heart failure: A recent meta-analysis by Malandish A et al. [34] investigated the effects of concurrent, aerobic, and resistance exercise on markers of inflammation and vascular adhesion molecules including hsCRP, IL-6, IL-10, tumor necrosis factor alpha (TNF-α), and other markers such as soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cell adhesion molecule-1 (sVCAM-1), fibrinogen, IL-1-b, IL-18, and E-selectin in patients with CHF.