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Remote ischaemic conditioning and remodelling following myocardial infarction: current evidence and future perspectives

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journal contribution
posted on 25.10.2016, 12:51 by A. P. Vanezis, Glenn C. Rodrigo, I. B. Squire, N. J. Samani
Remote ischaemic conditioning (rIC) has demonstrated its effectiveness as a powerful cardioprotective tool in number of preclinical and limited clinical settings. More recently, ischaemic postconditioning given after an ischaemic event such as a myocardial infarction (MI) has shown not only to reduce infarct size but also to have beneficial effects on acute remodelling post-MI and to reduce the burden of heart failure and other detrimental outcomes. Building on this platform, repeated rIC over a number of days has the potential to augment the protective process even further. This review considers the current evidence base from which the concept of rIC in the setting of post-MI remodelling has grown. It also discusses the ongoing and planned clinical trials which are attempting to elucidate whether the protection imparted by rIC in the preclinical setting can be translated to the clinic and become a realistic weapon in the clinician's armoury to tackle acute remodelling and heart failure post-MI.

History

Citation

Heart Failure Reviews, 2016, 21 (5), pp. 635-643

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Cardiovascular Sciences

Version

VoR (Version of Record)

Published in

Heart Failure Reviews

Publisher

Springer Verlag

issn

1382-4147

eissn

1573-7322

Acceptance date

02/05/2016

Copyright date

2016

Available date

25/10/2016

Publisher version

http://link.springer.com/article/10.1007/s10741-016-9560-9#aboutarticle

Language

en