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Myocardial Ischemia and Preconditioning

Myocardial Ischemia and Preconditioning
Author: Naranjan S. Dhalla
Publisher: Springer Science & Business Media
Total Pages: 564
Release: 2012-12-06
Genre: Medical
ISBN: 1461503558

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Current evidence suggests that the ischemic preconditioning response is a multi-factorial process consisting of an initial early trigger, an intermediate mediator, and an end effector. Each of these steps in is now its own intense area of investigation. The need to render the heart ischemic for a brief period to invoke the preconditioning response is currently the major factor limiting clinical application of this powerful cardioprotective strategy. Recent research efforts have utilized brief exposures to pharmacological agents, in lieu of a brief preconditioning ischemia, to trigger/mimic the ischemic preconditioning-induced response. The World Heart Congress held in Winnipeg in July 2001 provided a forum for the presentation of new insights into the basic mechanisms of ischemia and reperfusion injury, as well as novel strategies to protect the heart from cell death, ventricular arrhythmias, and contractile dysfunction. Many pioneers in the fields of ischemia-reperfusion injury and preconditioning-induced protection presented there and the chapters in this book represent selected papers from these symposia.


Ischemic Preconditioning: The Concept of Endogenous Cardioprotection

Ischemic Preconditioning: The Concept of Endogenous Cardioprotection
Author: Karin Przyklenk
Publisher: Springer Science & Business Media
Total Pages: 296
Release: 2012-12-06
Genre: Medical
ISBN: 1461526027

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Ischemic Preconditioning: The Concept of Endogenous Cardioprotection consolidates, in one volume, both current knowledge and the most recent advances in ischemic preconditioning. The editors have invited investigators at the forefront of ongoing research to provide their scholarly and candid comments concerning each of these issues. This volume includes a comprehensive review of infarct size reduction with ischemic preconditioning, and the most recent data on the effects of preconditioning on ischemia and reperfusion-induced arrhythmias, myocardial metabolism, contractile function, and the coronary vasculature. The role of altered energy metabolism, stress-induced proteins, ATP-sensitive potassium channels, and adenosine -- the major hypotheses that have been proposed to explain the cardioprotective effects of ischemic preconditioning -- are critically reviewed by investigators who have been instrumental in developing these concepts. In addition, the editors raise the intriguing possibility that ischemic preconditioning may be more than simply a laboratory curiosity. Using a multidisciplinary approach, this volume challenges the readers to contribute their own expertise to address the unanswered questions concerning this endogenous, cardioprotective phenomenon.


Myocardial Preconditioning

Myocardial Preconditioning
Author: Cherry L. Wainwright
Publisher: Springer Science & Business Media
Total Pages: 296
Release: 2013-11-22
Genre: Science
ISBN: 366222206X

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This book is about the unique ability of the heart to protect itself against the serious consequences of an abrupt reduction in blood flow to the myocardium - a phenomenon which is switched on by stress and termed myocardial preconditioning. This volume describes the main features and characteristics of preconditioning, with respect to the time-course of the protective effect of the phenomenon (first and second windows) and the different sequelae of myocardial ischaemia against which it protects, such as myocardial injury, arrhythmias and contractile dysfunction. The proposed mechanisms underlying the fascinating form of cardioprotection are discussed. Among these are the role of endogenous labile mediators, receptor-linked G proteins, ATP-sensitive potassium channels and protein kinase C activation.


Cardioprotection Against Acute Myocardial Infarction

Cardioprotection Against Acute Myocardial Infarction
Author: Shinya Minatoguchi
Publisher: Springer Nature
Total Pages: 64
Release: 2019-11-16
Genre: Science
ISBN: 981150167X

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This book will provide readers with a detailed understanding of the ischemic damage to the myocardium after myocardial infarction, as well as essential tools for the treatment of damaged heart after myocardial infarction. It discusses various methods such as pharmacological pre- and post-conditioning, cytokine therapy, and cell therapy especially using Muse cells.The coverage of Muse cell therapy, which includes the latest work done by the author and his collaborators, is a unique feature of the book. Muse cells have self-renewability and have ability to differentiate into cells with the characteristics of all three germ layers from a single cell, while they are non-tumorigenic. It is the first book to feature the Muse cell therapy, which may offer the new promising therapeutic strategy for acute myocardial infarction.


Myocardial Ischemia: Mechanisms, Reperfusion, Protection

Myocardial Ischemia: Mechanisms, Reperfusion, Protection
Author: Morris Karmazyn
Publisher: Birkhäuser
Total Pages: 508
Release: 2013-03-12
Genre: Medical
ISBN: 3034889887

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Myocardial ischemia and subsequent reperfusion of the ischemic myocardium represent complex phenomena encompassing numerous physiological processes. This book aims at enhancing our understanding of these processes and stresses recent important developments in this very active area of research. The concise, state-of-the-art reviews cover recent advances in many fields important to the area of myocardial ischemia and reperfusion including physiology, pathology, pharmacology, biochemistry and molecular biology with reference to clinical relevance and applicability of these findings. Major areas which are highlighted include vascular mechanisms resulting in myocardial ischemia, cellular events in the ischemic, postinfarcted and reperfused myocardium as well as new exciting developments in cardiac protection that involve both novel pharmacological approaches as well as endogenous cardioprotective mechanisms such as preconditioning. Aimed at both the basic and clinical cardiovascular investigator, the book comprehensively reviews the rapid progress made in recent years in understanding the etiology of myocardial ischemia and reperfusion. It will further serve as an authoritative reference for all those interested in learning about the important developments in the treatment of myocardial ischemic and reperfusion disorders.


Myocardial Protection

Myocardial Protection
Author: Tomas A. Salerno
Publisher: John Wiley & Sons
Total Pages: 344
Release: 2008-04-15
Genre: Medical
ISBN: 1405178434

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Myocardial protection is regarded as one of the most important, yet also most controversial aspects of cardiac surgery. There has been considerable improvement in myocardial protection strategies over recent years, utilising a variety of new approaches to treat cardiac diseases, and this text is intended to embrace the state of the art in this field. The book summarises the state of knowledge on all aspects of myocardial protection, including the latest in the treatment of cardiac diseases, robotics, pediatric surgery and the treatment of cardiac failure. Robotic surgery, valvular surgery, pediatric surgery and coronary surgery are all covered by renowned experts, producing a comprehensive, forward-looking view of the field of myocardial protection. This book should function to update physicians and surgeons interested in the field of cardiac surgery on the current state of knowledge on myocardial protection.


Analytical and Quantitative Cardiology

Analytical and Quantitative Cardiology
Author: S. Sideman
Publisher: Springer Science & Business Media
Total Pages: 362
Release: 2012-12-06
Genre: Science
ISBN: 1461559596

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The tenth Henry Goldberg Workshop is an excellent occasion to recall our goals and celebrate some of our humble achievements. Vision and love of our fellow man are combined here to: 1) Foster interdisciplinary interaction between leading world scientists and clinical cardiologists so as to identify missing knowledge and catalyze new research ideas; 2) relate basic microscale, molecular and subcellular phenomena to the global clinically manifested cardiac performance; 3) apply conceptual modelling and quantitative analysis to better explore, describe, and understand cardiac physiology; 4) interpret available clinical data and design new revealing experiments; and 5) enhance international cooperation in the endless search for the secrets of life and their implication on cardiac pathophysiology. The first Goldberg Workshop, held in Haifa, in 1984, explored the interaction of mechanics, electrical activation, perfusion and metabolism, emphasizing imaging in the clinical environment. The second Workshop, in 1985, discussed the same parameters with a slant towards the control aspects. The third Goldberg Workshop, held in the USA at Rutgers University, in 1986, highlighted the transformation of the microscale activation phenomena to macro scale activity and performance, relating electrophysiology, energy metabolism and cardiac mechanics. The fourth Goldberg Workshop continued the effort to elucidate the various parameters affecting cardiac performance, with emphasis on the ischemic heart. The fifth Workshop concentrated on the effect of the inhomogeneity of the cardiac muscle on its performance. The sixth Workshop highlighted new imaging techniques which allow insight into the local and global cardiac performance.


Core Topics in Cardiac Anesthesia

Core Topics in Cardiac Anesthesia
Author: Jonathan H. Mackay
Publisher: Cambridge University Press
Total Pages: 0
Release: 2012-03-15
Genre: Medical
ISBN: 9780521196857

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Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists.


Stunning, Hibernation, and Preconditioning

Stunning, Hibernation, and Preconditioning
Author: Guy R. Heyndrickx
Publisher: Lippincott Williams & Wilkins
Total Pages: 376
Release: 1997
Genre: Medical
ISBN:

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This monograph aims to summarize and integrate knowledge regarding the intrinsic adaptive mechanisms of the heart triggered by ischemia. The contributors review the initial adaptation to ischemia and the concept of preconditioning. Close attention is given to knowledge of myocardial stunning, including the role of calcium homeostasis and oxyradicals as well as the clinical impact and pharmacological modulation of myocardial stunning. Myocardial hibernation and its link with myocardial stunning are also discussed. The contributors attempt to integrate experimental data and clinical observations. The understanding of the basic pathophysiological mechanisms of these ischemic syndromes should help readers to correctly identify and treat patients with chronic ischemic left ventricular dysfunction.


Cardioprotection

Cardioprotection
Author: Derek Hausenloy
Publisher: Oxford University Press
Total Pages: 138
Release: 2009-08-20
Genre: Medical
ISBN: 019954476X

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Coronary heart disease (CHD) is the leading cause of death worldwide. Cardioprotection refers to the prevention of CHD and the clinical improvement in patients suffering from cardiovascular problems.