Preconditioning in humans.

Abstract:

:Brief ischemia to the myocardium initiates a cascade of biochemical events in cardiac myocytes that protects the heart muscle during subsequent ischemic insults. This phenomenon is called ischemic preconditioning. If an acute myocardial infarction is preceded by preinfarction angina, it results in smaller infarction size, fewer cardiac arrhythmias, and better-left ventricular function. During coronary intervention, brief balloon inflation protects the heart during subsequent inflations. Patients vary in the degree of preconditioning and those patients who have the ability to demonstrate a significant preconditioning effect will have lesser incidence of subsequent cardiac events. Preconditioning protects the myocardium during coronary artery bypass surgery, particularly in the off-pump procedure, yet the thoracic surgery community has not universally adopted this technique.

journal_name

Heart Fail Rev

journal_title

Heart failure reviews

authors

Rezkalla SH,Kloner RA

doi

10.1007/s10741-007-9037-y

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

201-6

issue

3-4

eissn

1382-4147

issn

1573-7322

journal_volume

12

pub_type

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