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European Heart Journal 1997 18(Supplement A):8-14; doi:10.1093/eurheartj/18.suppl_A.8
Copyright © 1997 by the European Society of Cardiology.
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© 1997 The European Society of Cardiology

Myocardial preconditioning

What have we learned?

M. S. Sumeray and D. M. Yellon

The Hatter Institute, Department of Academic and Clinical Cardiology, University College Hospital London, U.K.

Correspondence: Professor D. M. Yellon, The Hatter Institute, Department of Academic and Clinical Cardiology, University College Hospital, Grafton Way, London WCIE 6DB, U.K

It is now 10 years since the phenomenon termed ‘ischaemic preconditioning’ was formally recognised. The possibility that an innate mechanism of myocardial protection might be inducible in the human heart has generated considerable excitement and enthusiastic research. This has led to a more detailed understanding of the mechanisms underlying ischaemia-reperfusion injury and has provided reason to believe that the progress of myocardial necrosis might be modified by invoking a protective adaptation within the myocyte. Considerable progress has been made towards the identification of cell triggers and transduction mechanisms that may be involved in the process of preconditioning. It is likely that future studies will examine the effect of several classes of pharmacological agents that may prove capable of mimicking the protective effect of sub-lethal ischaemia.

Key Words: Ischaemia • ischaemia-reperfusion injury • myocardium • preconditioning • second window of protection


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