Cardioprotection and ageing / 대한마취과학회지
Korean Journal of Anesthesiology
; : 223-230, 2010.
Article
ي En
| WPRIM
| ID: wpr-57717
المكتبة المسؤولة:
WPRO
ABSTRACT
With an increase in the elderly population and an increase in the prevalence of age-related cardiovascular disease, anesthesiologists are increasingly being faced with elderly patients with known or suspected ischemic heart disease in the perioperative period. Although early reperfusion remains the best strategy to reduce ischemic injury, reperfusion may damage the myocardium. Adjuvant therapy to revascularization is therefore necessary. To develop better strategies to prevent ischemia-reperfusion injury in older patients, we need to understand the aged myocardium, which has undergone structural and functional changes relative to the normal myocardium, resulting in reduced functional capacity and vulnerability to ischemia-reperfusion injury. In addition, innate or acquired cardioprotection deteriorates with aging. These changes in the aged myocardium might explain why there is poor translation of basic research findings from young animals to older patients. In this review, I discuss changes in intracellular signaling associated with myocardial ageing that have an effect on ischemia-reperfusion injury, and I discuss the efficacy of cardioprotection afforded by ischemic and pharmacologic pre-and post-conditioning in the aged myocardium. Finally, I outline strategies to restore protection in the aged myocardium.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Aging
/
Cardiovascular Diseases
/
Reperfusion
/
Reperfusion Injury
/
Prevalence
/
Myocardial Ischemia
/
Diet
/
Perioperative Period
/
Myocardium
نوع الدراسة:
Prevalence_studies
المحددات:
Animals
/
Humans
اللغة:
En
مجلة:
Korean Journal of Anesthesiology
السنة:
2010
نوع:
Article