دورية أكاديمية
Reperfusion Injury in Patients With Acute Myocardial Infarction: JACC Scientific Statement.
| العنوان: | Reperfusion Injury in Patients With Acute Myocardial Infarction: JACC Scientific Statement. |
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| المؤلفون: | Welt, Frederick G P, Batchelor, Wayne, Spears, J Richard, Penna, Claudia, Pagliaro, Pasquale, Ibanez, Borja, Drakos, Stavros G, Dangas, George, Kapur, Navin K |
| المصدر: | J Am Coll Cardiol ; ISSN:1558-3597 ; Volume:83 ; Issue:22 |
| بيانات النشر: | Elsevier Science |
| سنة النشر: | 2024 |
| المجموعة: | PubMed Central (PMC) |
| مصطلحات موضوعية: | STEMI, inflammation, ischemia, reperfusion |
| الوصف: | Despite impressive improvements in the care of patients with ST-segment elevation myocardial infarction, mortality remains high. Reperfusion is necessary for myocardial salvage, but the abrupt return of flow sets off a cascade of injurious processes that can lead to further necrosis. This has been termed myocardial ischemia-reperfusion injury and is the subject of this review. The pathologic and molecular bases for myocardial ischemia-reperfusion injury are increasingly understood and include injury from reactive oxygen species, inflammation, calcium overload, endothelial dysfunction, and impaired microvascular flow. A variety of pharmacologic strategies have been developed that have worked well in preclinical models and some have shown promise in the clinical setting. In addition, there are newer mechanical approaches including mechanical unloading of the heart prior to reperfusion that are in current clinical trials. |
| نوع الوثيقة: | article in journal/newspaper review |
| اللغة: | English |
| العلاقة: | https://doi.org/10.1016/j.jacc.2024.02.056Test; https://pubmed.ncbi.nlm.nih.gov/38811097Test |
| DOI: | 10.1016/j.jacc.2024.02.056 |
| الإتاحة: | https://doi.org/10.1016/j.jacc.2024.02.056Test https://pubmed.ncbi.nlm.nih.gov/38811097Test |
| حقوق: | Copyright © 2024 American College of Cardiology Foundation. All rights reserved. |
| رقم الانضمام: | edsbas.DA58C6D2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jacc.2024.02.056 |
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