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Cardiovascular Research 2004 62(1):4-6; doi:10.1016/j.cardiores.2004.01.036
© 2004 by European Society of Cardiology
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Copyright © 2004, European Society of Cardiology

Modifying the first minute of reperfusion: potential for myocardial salvage

Roberto J Diaz*,a,b and Gregory J Wilsona,b,c

aDivision of Cardiovascular Research, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada
bDepartment of Laboratory Medicine, Division of Pathology, The Hospital for Sick Children, Toronto, ON, Canada
cDepartments of Laboratory Medicine and Pathobiology, Physiology and Surgery, University of Toronto, Toronto, ON, Canada

* Corresponding author. Division of Cardiovascular Research, Research Institute, The Hospital for Sick Children, McMaster Building, Rm. 7019C, 555 University Avenue, Toronto, ON, Canada M5G 1X8. Tel.: +1-416-813-8720; fax: +1-416-813-7480. Email address: diazport@sickkids.ca

Received 27 January 2004; accepted 30 January 2004

The first 150 words of the full text of this article appear below.

See article by Kin et al. [1] (pages 74–85) in this issue.

In this issue of Cardiovascular Research, Kin et al. [1] have demonstrated in vivo in rats that following a 30-min index regional myocardial ischemia, protection against reperfusion injury assessed 3 h later through necrosis quantification by tetrazolium staining was achieved by a 1-min duration reperfusion modification protocol that consisted of three cycles of 10 s each of unrestricted reperfusion followed by 10 s of re-occlusion of the same coronary artery subjected to the occlusion causing the index ischemia. This protection, while evident, was substantially less than that achieved by one cycle of preconditioning (5 min of ischemia followed by 10 min of reperfusion immediately preceding the index ischemia). Importantly, delaying the three-cycle (10-s ‘on’/10-s ‘off’) reperfusion modification protocol by 1 min (its duration) failed to protect the myocardium at risk against infarction. Furthermore, doubling the reperfusion modification . . . [Full Text of this Article]


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