Cardioprotection by ischemic postconditioning during surgical procedures.
Acute myocardial ischemic insult remains the most prevalent cause of postoperative mortality and morbidity despite major advances in cardiovascular medicine. Preoperative cardiac assessment and optimization, intraoperative anesthetic techniques and perioperative medical prophylaxis are all used to minimize cardiac morbidity. Ischemic postconditioning is one of the latest techniques to be added to this regime of cardioprotection. Currently still in its infancy, this technique seems to provide valuable cardioprotection via a novel set of pathways. We present a literature review of published animal and human studies on ischemic postconditioning, focusing on the advances made in understanding this phenomenon since its inception and the relevant clinical applications.
Sadat
Umar
U
Clinical Research Associate Vascular Imaging, Cambridge Vascular Unit, Box 201, Department of Surgery, Addenbrooke's Hospital, Cambridge, CB2 2QQ, UK. sadat.umar@gmail.com
Walsh
Stewart R
SR
Varty
Kevin
K
D000818:Animals; D001145:Arrhythmias, Cardiac / Q000517:prevention & control; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002986:Clinical Trials as Topic; D006801:Humans; D019157:Ischemic Preconditioning, Myocardial / Q000379:methods*; D017202:Myocardial Ischemia / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control*