The paradoxes of reperfusion in the ischemic heart

نویسندگان

  • Naranjan S. Dhalla
  • Todd A. Duhamel
چکیده

Although reperfusion is essential for salvage of the ischemic heart, reperfusion beyond a certain period of ischemia may cause injury to the myocardium. Dramatic changes in contractile function, arrhythmias, and ultrastructure occur in the ischemic-reperfused heart as a consequence of the generation of oxyradicals, loss of cation homeostasis, depletion of energy stores, and changes in subcellular activities. These acute effects of reperfusion appear to be the result of the occurrence of oxidative stress and intracellular Ca2þ overload in the heart. Alterations in cardiac gene expression may account for delayed recovery of subcellular organelles in the ischemic myocardium. Heart Metab. 2007;37:31–34.

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تاریخ انتشار 2007