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Related Experiment Videos

Ischemic preconditioning: implications for the geriatric heart.

R A Kloner1, T Shook, C P Cannon

  • 1Heart Institute, Good Samaritan Hospital, 1225 Wilshire Boulevard, Los Angeles, CA 90017, USA.

The American Journal of Geriatric Cardiology
|May 22, 2001
PubMed
Summary
This summary is machine-generated.

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Ischemic preconditioning can reduce heart attack damage. Older adults (>=60) with a history of angina may benefit from this protective effect, suggesting preconditioning is possible in the senescent heart.

Area of Science:

  • Cardiology
  • Cardiovascular Research
  • Geriatric Medicine

Background:

  • Ischemic preconditioning is a potent endogenous cardioprotective mechanism.
  • Clinical evidence suggests the human heart can undergo preconditioning.
  • Controversy remains regarding preconditioning efficacy in the aging (senescent) heart.

Purpose of the Study:

  • To investigate the potential for ischemic preconditioning in older adults.
  • To explore whether a history of angina confers protection in elderly patients experiencing acute myocardial infarction.

Main Methods:

  • Analysis of data from the Thrombolysis in Myocardial Infarction-4 (TIMI-4) clinical trial.
  • Comparison of outcomes in older patients (>=60 years) with and without a history of angina prior to myocardial infarction.

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Main Results:

  • Older patients (>=60 years) with a history of angina showed a potential benefit.
  • This suggests a possible clinical manifestation of preconditioning in the senescent heart.

Conclusions:

  • The findings suggest that the aging human heart may be amenable to ischemic preconditioning.
  • A history of angina prior to myocardial infarction may represent a clinical correlate of preconditioning in the elderly.
  • Further research is warranted to confirm and elucidate this cardioprotective phenomenon in older populations.