Related Experiment Video
Updated: May 15, 2026

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents
Published on: June 2, 2015
Cardioprotection techniques: preconditioning, postconditioning and remote conditioning (basic science)
1The Hatter Cardiovascular Institute, University College London Hospital & Medical School, 67 Chenies Mews, London, WC1E 6HX, UK. d.hausenloy@ucl.ac.uk
Insights
Ischemic heart disease (IHD) poses a global health challenge. This review explores endogenous cardioprotective strategies like ischemic preconditioning (IPC) and remote ischemic conditioning (RIC) to mitigate myocardial ischemia-reperfusion injury (IRI) and preserve heart function.
Area of Science:
- Cardiovascular Medicine
- Physiology
- Pathology
Background:
- Ischemic heart disease (IHD) is a primary cause of global mortality and morbidity.
- Acute ischemia-reperfusion injury (IRI) significantly contributes to IHD's pathological consequences.
- Effective cardioprotection strategies are crucial for improving clinical outcomes in IHD patients.
Purpose of the Study:
- To review endogenous cardioprotective strategies for myocardial protection against IRI.
- To explore the characteristics and signaling mechanisms of ischemic preconditioning (IPC), ischemic postconditioning (IPost), and remote ischemic conditioning (RIC).
- To provide an overview based on pre-clinical experimental literature.
Main Methods:
- Literature review of pre-clinical experimental studies on endogenous cardioprotective strategies.
- Analysis of major characteristics and underlying signaling pathways.
- Focus on strategies relevant to acute myocardial IRI.
Main Results:
- Identified IPC, IPost, and RIC as promising endogenous cardioprotective approaches.
- Detailed the signaling mechanisms involved in these conditioning strategies.
- Highlighted their potential for protecting the myocardium during IRI.
Conclusions:
- Endogenous cardioprotective strategies offer novel therapeutic avenues for IHD.
- Understanding their mechanisms is key to clinical application.
- These strategies show potential for preserving cardiac function in acute IRI settings.
Abstract:
Ischemic heart disease (IHD) is the leading cause of death and disability worldwide. The major pathological consequences of IHD arise from the detrimental effects of acute ischemia-reperfusion injury (IRI) on the myocardium. Therefore, in order to improve clinical outcomes in patients with IHD, novel therapeutic strategies are required to protect the myocardium from acute IRI and preserve cardiac function (cardioprotection). In this regard, endogenous cardioprotective strategies such as ischemic preconditioning (IPC), ischemic postconditioning (IPost) and remote ischemic conditioning (RIC) may provide novel approaches for protecting the heart in clinical settings in which the patient experiences acute myocardial IRI. In this review article, we provide an overview of these endogenous cardioprotective strategies with respect to the pre-clinical experimental literature, exploring their major characteristics and underlying signaling mechanisms. The application of these therapeutic strategies in the clinical setting for potential patient benefit is reviewed in another article in this special issue.
Related Concept Videos
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy V: Interprofessional Care
Cardiopulmonary Resuscitation III: AED Use
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Dysrhythmias VI: Management of Dysrhythmias

