Document Detail


Cardioprotection before revascularization in ischemic myocardial injury and the potential role of hemoglobin-based oxygen carriers.
MedLine Citation:
PMID:  15990736     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite the availability of interventional catheterization for patients with acute coronary syndromes, there is an unavoidable delay until the occluded coronary artery(s) can be revascularized, during which time persistent ischemia may lead to irreversible myocardial damage despite subsequently high patency rates. Accordingly, there has been an intense effort to develop early interventions that will preserve the viability of ischemic myocardium before revascularization. A number of novel strategies have been studied, including hemoglobin-based oxygen carriers. These compounds transport oxygen in the plasma to help maintain more normal oxygen delivery to the myocardium supplied by a thrombosed vessel, and they also release oxygen to tissue more efficiently than intraerythrocytic hemoglobin.
Authors:
Daniel Burkhoff; David J Lefer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American heart journal     Volume:  149     ISSN:  1097-6744     ISO Abbreviation:  Am. Heart J.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-07-01     Completed Date:  2005-12-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  573-9     Citation Subset:  AIM; IM    
Affiliation:
Division of Circulatory Physiology, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. db59@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Substitutes / administration & dosage,  chemistry,  pharmacokinetics,  therapeutic use*
Cardiotonic Agents / administration & dosage,  chemistry,  pharmacokinetics,  therapeutic use*
Clinical Trials, Phase II as Topic
Drug Design
Drug Evaluation, Preclinical
Female
Hemoglobins / administration & dosage,  chemistry,  pharmacokinetics,  therapeutic use*
Humans
Male
Middle Aged
Multicenter Studies as Topic
Myocardial Infarction / drug therapy,  surgery,  therapy
Myocardial Ischemia / drug therapy,  surgery,  therapy*
Myocardial Reperfusion Injury / prevention & control
Myocardial Revascularization*
Myocardium / metabolism
Oxygen / metabolism
Pilot Projects
Preoperative Care*
Randomized Controlled Trials as Topic
Chemical
Reg. No./Substance:
0/Blood Substitutes; 0/Cardiotonic Agents; 0/HBOC 201; 0/Hemoglobins; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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