The pathophysiology of acute myocardial infarction and strategies of protection beyond reperfusion: a continual challenge

G Heusch, BJ Gersh - European heart journal, 2017 - academic.oup.com
The incidence of ST segment elevation myocardial infarction (STEMI) has decreased over
the last two decades in developed countries, but mortality from STEMI despite widespread …

Evolving therapies for myocardial ischemia/reperfusion injury

B Ibáñez, G Heusch, M Ovize, F Van de Werf - Journal of the American …, 2015 - jacc.org
The damage inflicted on the myocardium during acute myocardial infarction is the result of 2
processes: ischemia and subsequent reperfusion (ischemia/reperfusion injury). During the …

Molecular basis of cardioprotection: signal transduction in ischemic pre-, post-, and remote conditioning

G Heusch - Circulation research, 2015 - Am Heart Assoc
Reperfusion is mandatory to salvage ischemic myocardium from infarction, but reperfusion
per se contributes to injury and ultimate infarct size. Therefore, cardioprotection beyond that …

Coronary microvascular obstruction: the new frontier in cardioprotection

G Heusch - Basic Research in Cardiology, 2019 - Springer
Cardioprotection aims at infarct size reduction and improvement of clinical outcome from
myocardial infarction. The translation of cardioprotection from preclinical and promising …

Cardiovascular remodelling in coronary artery disease and heart failure

G Heusch, P Libby, B Gersh, D Yellon, M Böhm… - The Lancet, 2014 - thelancet.com
Remodelling is a response of the myocardium and vasculature to a range of potentially
noxious haemodynamic, metabolic, and inflammatory stimuli. Remodelling is initially …

Coronary microvascular obstruction in acute myocardial infarction

G Niccoli, G Scalone, A Lerman… - European heart …, 2016 - academic.oup.com
The success of a primary percutaneous intervention (PCI) in the setting of ST elevation
myocardial infarction depends on the functional and structural integrity of coronary …

Cardioprotection: chances and challenges of its translation to the clinic

G Heusch - The Lancet, 2013 - thelancet.com
Myocardial infarct size is a major determinant of prognosis. Ischaemic preconditioning with
brief coronary occlusion and reperfusion before a sustained period of coronary occlusion …

Effect of early metoprolol on infarct size in ST-segment–elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: the effect of …

B Ibanez, C Macaya, V Sánchez-Brunete, G Pizarro… - Circulation, 2013 - Am Heart Assoc
Background—The effect of β-blockers on infarct size when used in conjunction with primary
percutaneous coronary intervention is unknown. We hypothesize that metoprolol reduces …

The coronary circulation as a target of cardioprotection

G Heusch - Circulation research, 2016 - Am Heart Assoc
The atherosclerotic coronary vasculature is not only the culprit but also a victim of
myocardial ischemia/reperfusion injury. Manifestations of such injury are increased vascular …

Adenosine-mediated effects of ticagrelor: evidence and potential clinical relevance

M Cattaneo, R Schulz, S Nylander - Journal of the American College of …, 2014 - jacc.org
This review constitutes a critical evaluation of recent publications that have described an
additional mode of action of the P2Y12 receptor antagonist ticagrelor. The effect is mediated …