Cellular mechanisms of ischemia-reperfusion injury

As of yet, only a few strategies to prevent myocardial reperfusion injury have been tested clinically. In the first minutes of reperfusion, the myocardium can be damaged by contracture development, causing mechanical stiffness, tissue necrosis, and the “stone heart” phenomenon. Reperfusion-induced c...

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Veröffentlicht in:The Annals of thoracic surgery 2003-02, Vol.75 (2), p.S644-S648
Hauptverfasser: Piper, H.Michael, Meuter, Karsten, Schäfer, Claudia
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container_title The Annals of thoracic surgery
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creator Piper, H.Michael
Meuter, Karsten
Schäfer, Claudia
description As of yet, only a few strategies to prevent myocardial reperfusion injury have been tested clinically. In the first minutes of reperfusion, the myocardium can be damaged by contracture development, causing mechanical stiffness, tissue necrosis, and the “stone heart” phenomenon. Reperfusion-induced contracture can have two different causes, namely, Ca 2+overload–induced contracture or rigor-type contracture. Ca 2+ contracture results from rapid re-energization of contractile cells with a persistent Ca 2+ overload. Strategies to prevent this type of injury are directed at cytosolic Ca 2+ control or myofibrillar Ca 2+ sensitivity. Rigor-contracture occurs when re-energization proceeds very slowly. It does not depend on Ca 2+ overload. It may be prevented by strategies improving early mitochondrial reactivation
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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adenosine Triphosphate - analysis
Biological and medical sciences
Cardiology. Vascular system
Coronary heart disease
Cytosol - physiology
Endothelium, Vascular - physiopathology
Heart
Heart - physiopathology
Humans
Medical sciences
Mitochondria, Heart - physiology
Myocardial Contraction - physiology
Myocardial Reperfusion Injury - pathology
Myocardial Reperfusion Injury - physiopathology
Myocardium - chemistry
Myocardium - cytology
Myocardium - pathology
Sarcolemma - physiology
Sodium-Calcium Exchanger - physiology
title Cellular mechanisms of ischemia-reperfusion injury
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