Remote Ischemic Conditioning in Cardiovascular Surgery: Still a Viable and Realistic Option?

被引:22
作者
Heusch, Gerd [1 ]
机构
[1] Univ Essen Gesamthsch, Sch Med, West German Heart & Vasc Ctr, Inst Pathophysiol, Essen, Germany
关键词
ischemic heart disease; myocardial ischemia; reperfusion; cardioprotection; CARDIAC BYPASS-SURGERY; CLINICAL-TRIAL; CORONARY REVASCULARIZATION; REPERFUSION INJURY; MYOCARDIAL INJURY; NERVOUS-SYSTEM; GRAFT-SURGERY; CARDIOPROTECTION; PROTECTION; PROPOFOL;
D O I
10.1177/1074248416687874
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
The existing clinical studies on remote ischemic preconditioning in patients undergoing cardiovascular surgery are critically reviewed, with a focus on infarct size reduction and clinical outcome as end points. Confounders, notably the use of propofol anesthesia are identified. The need for better designed trials with a more targeted approach is emphasized.
引用
收藏
页码:297 / 301
页数:5
相关论文
共 36 条
[1]
Bautin A. E., 2014, Anesteziologiya i Reanimatologiya, P11
[2]
Effect of remote ischaemic preconditioning on clinical outcomes in patients undergoing cardiac bypass surgery: a randomised controlled clinical trial [J].
Candilio, Luciano ;
Malik, Abdul ;
Ariti, Cono ;
Barnard, Matthew ;
Di Salvo, Carmelo ;
Lawrence, David ;
Hayward, Martin ;
Yap, John ;
Roberts, Neil ;
Sheikh, Amir ;
Kolvekar, Shyam ;
Hausenloy, Derek J. ;
Yellon, Derek M. .
HEART, 2015, 101 (03) :185-192
[3]
Role of the parasympathetic nervous system in cardioprotection by remote hindlimb ischaemic preconditioning [J].
Donato, Martin ;
Buchholz, Bruno ;
Rodriguez, Manuel ;
Perez, Virginia ;
Inserte, Javier ;
Garcia-Dorado, David ;
Gelpi, Ricardo J. .
EXPERIMENTAL PHYSIOLOGY, 2013, 98 (02) :425-434
[4]
Interaction of Risk Factors, Comorbidities, and Comedications with Ischemia/Reperfusion Injury and Cardioprotection by Preconditioning, Postconditioning, and Remote Conditioning [J].
Ferdinandy, Peter ;
Hausenloy, Derek J. ;
Heusch, Gerd ;
Baxter, Gary F. ;
Schulz, Rainer .
PHARMACOLOGICAL REVIEWS, 2014, 66 (04) :1142-1174
[5]
Remote Ischemic Conditioning and the Long Road to Clinical Translation Lessons Learned From ERICCA and RIPHeart [J].
Garratt, Kirk N. ;
Whittaker, Peter ;
Przyklenk, Karin .
CIRCULATION RESEARCH, 2016, 118 (07) :1052-1054
[6]
The Effect of Remote Ischemic Conditioning and Glyceryl Trinitrate on Perioperative Myocardial Injury in Cardiac Bypass Surgery Patients: Rationale and Design of the ERIC-GTN Study [J].
Hamarneh, Ashraf ;
Sivaraman, Vivek ;
Bulluck, Heerajnarain ;
Shanahan, Hilary ;
Kyle, Bonnie ;
Ramlall, Manish ;
Chung, Robin ;
Jarvis, Claire ;
Xenou, Maria ;
Ariti, Cono ;
Cordery, Roger ;
Yellon, Derek M. ;
Hausenloy, Derek J. .
CLINICAL CARDIOLOGY, 2015, 38 (11) :641-646
[7]
Remote Ischemic Preconditioning and Outcomes of Cardiac Surgery [J].
Hausenloy, D. J. ;
Candilio, L. ;
Evans, R. ;
Ariti, C. ;
Jenkins, D. P. ;
Kolvekar, S. ;
Knight, R. ;
Kunst, G. ;
Laing, C. ;
Nicholas, J. ;
Pepper, J. ;
Robertson, S. ;
Xenou, M. ;
Clayton, T. ;
Yellon, D. M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (15) :1408-1417
[8]
Effect of remote ischaemic preconditioning on myocardial injury in patients undergoing coronary artery bypass graft surgery: a randomised controlled trial [J].
Hausenloy, Derek J. ;
Mwamure, Peter K. ;
Venugopal, Vinod ;
Harris, Joanne ;
Barnard, Matthew ;
Grundy, Ernie ;
Ashley, Elizabeth ;
Vichare, Sanjeev ;
Di Salvo, Carmelo ;
Kolvekar, Shyam ;
Hayward, Martin ;
Keogh, Bruce ;
MacAllister, Raymond J. ;
Yellon, Derek M. .
LANCET, 2007, 370 (9587) :575-579
[9]
The pathophysiology of acute myocardial infarction and strategies of protection beyond reperfusion: a continual challenge [J].
Heusch, Gerd ;
Gersh, Bernard J. .
EUROPEAN HEART JOURNAL, 2017, 38 (11) :774-+
[10]
Time to Give Up on Cardioprotection?: A Critical Appraisal of Clinical Studies on Ischemic Pre-, Post-, and Remote Conditioning* [J].
Heusch, Gerd ;
Rassaf, Tienush .
CIRCULATION RESEARCH, 2016, 119 (05) :676-695