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Updated: May 28, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
Myocardial postconditioning: next step to cardioprotection
Ankur Rohilla1, Seema Rohilla, Ashok Kushnoor
1Department of Pharmaceutical Sciences, Shri Gopi Chand, Group of Institutions, Baghpat 250609, UP, India. ankurrohilla1984@rediffmail.com
Insights
Myocardial postconditioning protects the heart from lethal injury by brief reperfusion episodes. However, its protective effects are often reduced in pathological conditions, warranting further investigation.
Area of Science:
- Cardiology
- Physiology
- Pathology
Background:
- Myocardial ischemia involves reduced blood flow to the heart muscle, leading to oxygen and nutrient deficiency.
- Reperfusion is the restoration of blood flow to an organ or tissue.
- Myocardial postconditioning involves brief ischemia and reperfusion episodes to protect against lethal injury.
Purpose of the Study:
- To critically discuss the mechanisms underlying the cardioprotective effects of myocardial postconditioning.
- To identify factors that affect the cardioprotective potential of postconditioning in various pathological states.
Main Methods:
- This review synthesizes findings from experimental studies on myocardial postconditioning.
- It critically analyzes the mechanisms of cardioprotection and influencing factors.
Main Results:
- Myocardial postconditioning demonstrates significant cardioprotective effects against ischemia-reperfusion injury.
- These protective effects are frequently suppressed in various pathological conditions.
Conclusions:
- Understanding the mechanisms of postconditioning is crucial for its therapeutic application.
- Further research is needed to overcome the suppression of cardioprotective effects in pathological states.
Abstract:
Myocardial ischemia is a condition in which lack of blood flow to the cardiac muscle occurs resulting in deficient oxygen and nutrient supply to the heart. The restoration of blood flow to an organ or tissue is termed reperfusion. Brief episodes of ischemia and reperfusion given after prolonged ischemia and at the onset of reperfusion denotes postconditioning. Myocardial postconditioning is a phenomenon in which myocardium from lethal ischemia-reperfusion injury is protected. However, numerous experimental studies reveal that the cardioprotective effects of postconditioning are suppressed in various pathological states. This review critically discusses the mechanisms involved in the cardioprotective effects of postconditioning and factors affecting the cardioprotective potential of myocardial postconditioning.
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