Abstract
Ischemic heart disease, a major cause of mortality in industrialized countries, is characterized by insufficient blood supply to certain regions of the myocardium which leads to tissue necrosis (infarction). It develops secondary to a variety of disorders such as hypertension, atherosclerosis, dyslipidemia, and diabetes. The treatment of this condition has entered a new era in which mortality can be approximately halved by procedures which allow for the rapid restoration of blood flow (reperfusion), to the ischemie zone of the myocardium. Reperfusion, however, may lead to further complications such as diminished cardiac contractile function (stunning) and arrhythmias. Therefore, development of cardioprotective agents to improve myocardial function, decrease the incidence of arrhythmias, lessen necrotic tissue mass, and delay the onset of necrosis as a result of ischemia-reperfusion is of great clinical importance. The heart was also found to have an inherent ability to adapt to ischemie stress called ischemie preconditioning (PC) [1]. It is a well described adaptive response in which brief exposure of the heart to brief episode(s) of ischemia (PC ischemia) markedly enhances its ability to withstand a subsequent ischemie injury (test ischemia) (see for review see [2]).
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Ferdinandy, P., Schulz, R. (2001). Roles of nitric oxide, superoxide, and peroxynitrite in myocardial ischemia-reperfusion injury and ischemic preconditioning. In: Salvemini, D., Billiar, T.R., Vodovotz, Y. (eds) Nitric Oxide and Inflammation. Progress in Inflammation Research. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8241-5_12
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DOI: https://doi.org/10.1007/978-3-0348-8241-5_12
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