PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON

Brief episodes of myocardial ischemia initiate a cascade of endogenous mechanisms which protect the heart during further ischemic attack. This phenomenon is called an ischemic preconditioning. Preinfarction angina is a clinical model of this phenomenon. Clinical studies have demonstrated that preinf...

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Main Authors: E. A. Lykasova, V. V. Todosiychuk, V. A. Kuznetsov, Y. A. Yurkina
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2014-06-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/70
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author E. A. Lykasova
V. V. Todosiychuk
V. A. Kuznetsov
Y. A. Yurkina
author_facet E. A. Lykasova
V. V. Todosiychuk
V. A. Kuznetsov
Y. A. Yurkina
author_sort E. A. Lykasova
collection DOAJ
description Brief episodes of myocardial ischemia initiate a cascade of endogenous mechanisms which protect the heart during further ischemic attack. This phenomenon is called an ischemic preconditioning. Preinfarction angina is a clinical model of this phenomenon. Clinical studies have demonstrated that preinfarction angina is associated with: lower incidence of cardiogenic shock, pulmonary edema, ventricular tachycardia and ventricular fibrillation, reduced infarct size, less severe left ventricular dysfunction, better results of thrombolytic therapy, less severe myocardial reperfusion injury, better hospital and long-term prognosis. There is evidence that elderly age, presence of diabetes mellitus, left ventricular hypertrophy and hypercholesterolemia do reduce the cardioprotective effect of preinfarction angina. Preinfarction angina may be an additional criterion of risk stratification in myocardial infarction patients. This review summarizes data from the literature on the most important aspects of preinfarction angina.
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spelling doaj.art-c061661d5e1649028ff4e2307b5db2ca2024-10-17T12:21:33Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252014-06-01133586210.15829/1728-8800-2014-3-58-6270PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENONE. A. Lykasova0V. V. Todosiychuk1V. A. Kuznetsov2Y. A. Yurkina3Institute of Clinical and Preventive Cardiology “Tyumen Cardiology Centre”. Tyumen, RussiaInstitute of Clinical and Preventive Cardiology “Tyumen Cardiology Centre”. Tyumen, RussiaInstitute of Clinical and Preventive Cardiology “Tyumen Cardiology Centre”. Tyumen, RussiaInstitute of Clinical and Preventive Cardiology “Tyumen Cardiology Centre”. Tyumen, RussiaBrief episodes of myocardial ischemia initiate a cascade of endogenous mechanisms which protect the heart during further ischemic attack. This phenomenon is called an ischemic preconditioning. Preinfarction angina is a clinical model of this phenomenon. Clinical studies have demonstrated that preinfarction angina is associated with: lower incidence of cardiogenic shock, pulmonary edema, ventricular tachycardia and ventricular fibrillation, reduced infarct size, less severe left ventricular dysfunction, better results of thrombolytic therapy, less severe myocardial reperfusion injury, better hospital and long-term prognosis. There is evidence that elderly age, presence of diabetes mellitus, left ventricular hypertrophy and hypercholesterolemia do reduce the cardioprotective effect of preinfarction angina. Preinfarction angina may be an additional criterion of risk stratification in myocardial infarction patients. This review summarizes data from the literature on the most important aspects of preinfarction angina.https://cardiovascular.elpub.ru/jour/article/view/70ischemic preconditioningpreinfarction anginamyocardial infarction
spellingShingle E. A. Lykasova
V. V. Todosiychuk
V. A. Kuznetsov
Y. A. Yurkina
PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON
Кардиоваскулярная терапия и профилактика
ischemic preconditioning
preinfarction angina
myocardial infarction
title PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON
title_full PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON
title_fullStr PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON
title_full_unstemmed PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON
title_short PREINFARCTION ANGINA AS A CLINICAL FORM OF THE ISCHEMIC PRECONDITIONING PHENOMENON
title_sort preinfarction angina as a clinical form of the ischemic preconditioning phenomenon
topic ischemic preconditioning
preinfarction angina
myocardial infarction
url https://cardiovascular.elpub.ru/jour/article/view/70
work_keys_str_mv AT ealykasova preinfarctionanginaasaclinicalformoftheischemicpreconditioningphenomenon
AT vvtodosiychuk preinfarctionanginaasaclinicalformoftheischemicpreconditioningphenomenon
AT vakuznetsov preinfarctionanginaasaclinicalformoftheischemicpreconditioningphenomenon
AT yayurkina preinfarctionanginaasaclinicalformoftheischemicpreconditioningphenomenon