Therapeutic hypothermia for cardioprotection in acute myocardial infarction
- 주제(키워드) Hypothermia , Induced , Myocardial infarction , Myocardial reperfusion injury
- 등재 SCIE, KCI등재, SCOPUS
- 발행기관 Yonsei University College of Medicine
- 발행년도 2016
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000123992
- 본문언어 영어
- Published As http://dx.doi.org/10.3349/ymj.2016.57.2.291
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Mild therapeutic hypothermia of 32–35°C improved neurologic outcomes in outside hospital cardiac arrest survivor. Furthermore, in experimental studies on infarcted model and pilot studies on conscious patients with acute myocardial infarction, therapeutic hypothermia successfully reduced infarct size and microvascular resistance. Therefore, mild therapeutic hypothermia has received an attention as a promising solution for reduction of infarction size after acute myocardial infarction which are not completely solved despite of optimal reperfusion therapy. Nevertheless, the results from randomized clinical trials failed to prove the cardioprotective effects of therapeutic hypothermia or showed beneficial effects only in limited subgroups. In this article, we reviewed rationale for therapeutic hypothermia and possible mechanisms from previous studies, effective methods for clinical application to the patients with acute myocardial infarction, lessons from current clinical trials and future directions. © Yonsei University College of Medicine 2016.
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