2018
DOI: 10.1177/2048872618812148
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Editor’s Choice- Reperfusion cardiac arrhythmias and their relation to reperfusion-induced cell death

Abstract: Reperfusion does not only salvage ischaemic myocardium but can also cause additional cell death which is called lethal reperfusion injury. The time of reperfusion is often accompanied by ventricular arrhythmias, i.e. reperfusion arrhythmias. While both conditions are seen as separate processes, recent research has shown that reperfusion arrhythmias are related to larger infarct size. The pathophysiology of fatal reperfusion injury revolves around intracellular calcium overload and reactive oxidative species in… Show more

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Cited by 29 publications
(23 citation statements)
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“…The incidence and severity of reperfusion-induced arrhythmias is more frequently occurred under experimental conditions in comparison with human beings (Jennings and Reimer, 1983;Manning and Hearse, 1984;Nakata et al, 1990;Kloner, 1993;Yellon and Hausenloy, 2007;Van Der Weg et al, 2019). Under clinical conditions, reperfusion-induced arrhythmias could mainly be observed during the process of thrombolysis following myocardial ischemia and infarction, after an insult of angina and percutaneous coronary intervention (Corr and Witkowski, 1983;Tzivoni et al, 1983;Tolg et al, 2006;Yu et al, 2017;Van Der Weg et al, 2019). Thrombolytic agents, including urokinase, ataplase, tissue plasminogen activator, are used to dissolve coronary thrombus during early hours of cardiac infarction.…”
Section: Reperfusion-induced Injury and Arrhythmias: Major Componentsmentioning
confidence: 99%
See 1 more Smart Citation
“…The incidence and severity of reperfusion-induced arrhythmias is more frequently occurred under experimental conditions in comparison with human beings (Jennings and Reimer, 1983;Manning and Hearse, 1984;Nakata et al, 1990;Kloner, 1993;Yellon and Hausenloy, 2007;Van Der Weg et al, 2019). Under clinical conditions, reperfusion-induced arrhythmias could mainly be observed during the process of thrombolysis following myocardial ischemia and infarction, after an insult of angina and percutaneous coronary intervention (Corr and Witkowski, 1983;Tzivoni et al, 1983;Tolg et al, 2006;Yu et al, 2017;Van Der Weg et al, 2019). Thrombolytic agents, including urokinase, ataplase, tissue plasminogen activator, are used to dissolve coronary thrombus during early hours of cardiac infarction.…”
Section: Reperfusion-induced Injury and Arrhythmias: Major Componentsmentioning
confidence: 99%
“…The role of NO was also intensively studied in ischemia/ reperfusion-induced injury in the myocardium during the past two and half decades (Pabla and Curtis, 1995;Liu et al, 1997;Csonka et al, 1999a;Masini et al, 1999;Varga et al, 1999;Fauconnier et al, 2011;Bienvenu et al, 2017;Van Der Weg et al, 2019). The substantial role and investigation of precise mechanisms of NO, both under physiological or pathological conditions, are not a question of debate in cell signaling and myocardial function.…”
Section: No Co H 2 S (Gaseous Molecules)mentioning
confidence: 99%
“…Thrombolytic therapy has a significantly higher rate of Accelerated Idioventricular Rhythm (AIVR) and atrial fibrillation in contrast to PPCI, while the prevalence of other arrhythmias did not differ significantly (25). The most common cause of reperfusion arrhythmia is Delayed afterdepolarization (DAD) (26). The calcium overload within the cardiac cell, because of calcium inflow or release by endoplasmic reticulum, is responsible for DAD in cardiac tissue.…”
Section: Discussionmentioning
confidence: 99%
“…These oscillations of cardiac cells membrane potentials appear after repolarization, which will further result in arrhythmias, especially AIVR. Furthermore, reduction in Adenosine triphosphate (ATP) which is a result of excessive intracellular calcium is also responsible for further arrhythmias because of closure of potassium ATP dependent channels and shortened action potentials (26). There are numerous cardio-protective approaches available to prevent reperfusion injury, which can be categorized into postconditioning and peri-conditioning.…”
Section: Discussionmentioning
confidence: 99%
“…There is a growing line of advance that cardiac mitochondria are implicated in the pathogenesis of cardiac arrhythmias [77][78][79][80][81], beyond their role in the pathogenesis of HF and mitochondrial cardiomyopathies [82]. Moreover, skeletal muscle mitochondrial pathology is well recognized to play a fundamental role in the decline in functional capacity of HFpEF patient population and decreased peak oxygen consumption during exercise [83,84].…”
Section: Metabolic Remodeling In Hfmentioning
confidence: 99%