Document Detail

Pre- and postconditioning during cardiac surgery.
MedLine Citation:
PMID:  15723155     Owner:  NLM     Status:  MEDLINE    
In spite of improved myocardial protection, postoperative arrhythmias and cardiac failure are still important problems causing morbidity and mortality in cardiac surgery. Ischemic preconditioning has been widely investigated experimentally with the purpose of identifying new therapeutic agents, but we have not unraveled the underlying mechanisms and we are not able yet to exploit them pharmacologically in clinical practice. Studies of preconditioning in cardiac surgery provide conflicting results, but the majority of studies show that ischemic preconditioning is an effective adjunct to myocardial protection in cardiac surgery. Interventions aimed at modifying reperfusion, or postconditioning, have the advantage that they also can be used after the ischemic insult has occurred, i.e. also in situations with "non-scheduled" ischemia. Postconditioning, as preconditioning, needs pharmacological mimics to be used routinely in settings of cardiac surgery or other human interventions. Possible common signaling pathways of the two phenomena are discussed, and suggested directions for clinical studies are outlined.
Guro Valen; Jarle Vaage
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2005-02-23
Journal Detail:
Title:  Basic research in cardiology     Volume:  100     ISSN:  0300-8428     ISO Abbreviation:  Basic Res. Cardiol.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-20     Completed Date:  2005-12-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0360342     Medline TA:  Basic Res Cardiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  179-86     Citation Subset:  IM    
Institute of Basic Medical Science, Department of Physiology University of Oslo, 1103 Blindern, 0317 Oslo, Norway.
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MeSH Terms
Cardiac Surgical Procedures / adverse effects*
Coronary Artery Disease / surgery*
Ischemic Preconditioning, Myocardial*
Myocardial Reperfusion Injury / prevention & control*
Postoperative Complications / prevention & control*

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