Postconditioning against ischaemia-reperfusion injury: ready for wide application in patients?

T Yetgin, O C Manintveld, D J Duncker, W J van der Giessen*

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

16 Citations (Scopus)

Abstract

Ischaemic postconditioning (IPOC) is an intervention in which brief, intermittent periods of reocclusion at the onset of reperfusion (i.e. stuttering reperfusion) protect myocardium from lethal reperfusion injury. The mechanism underlying the cardioprotective effects of IPOC is incompletely understood. However, it is perceived that IPOC begins with specific cell-surface receptors responsible for activating a number of signalling pathways, many of which appear to converge at the mitochondrial level. IPOC has been demonstrated both in animal models and in patients with acute myocardial infarction (AMI) in small proof-of-concept trials. This intervention offers the possibility of further limiting infarct size in patients undergoing primary percutaneous coronary intervention (PCI). Here, we provide a brief overview of the concept of IPOC and the mechanisms underlying this phenomenon. (Neth Heart J 2010;18:389-93.).

Original languageEnglish
Pages (from-to)389-92
Number of pages4
JournalNetherlands Heart Journal
Volume18
Issue number7-8
DOIs
Publication statusPublished - Aug 2010

Fingerprint

Dive into the research topics of 'Postconditioning against ischaemia-reperfusion injury: ready for wide application in patients?'. Together they form a unique fingerprint.

Cite this