Summary:In this cross-sectional study, we analysed serum concentrations of soluble markers of cellular immune activation, namely, interferon-γ, neopterin (a product of activated macrophages), soluble interleukin-2 receptor, and soluble CDS, in 25 patients with congestive heart failure. Ten (40%) patients showed increased concentrations (i.e. above the reference ranges of healthy controls) of neopterin, 14 (56%) showed increased soluble interleukin-2 receptor, and 6 (24%) showed increased soluble CDS. Endogenous interferon-γ was detectable in 10 patients (40%). In addition, we found significant correlations between neopterin and interferon-γ (rs = 0.417, p < 0.05), and between neopterin and soluble CDS concentrations (rs = 0.430, p < 0.05). All patients with increased soluble CDS also had increased soluble interleukin-2 receptor. However, no significant correlations of soluble interleukin-2 receptor with soluble CDS or any of the other quantities were observed.