How to best counteract the enemies? By ensuring adequate oxygen delivery

F NEUMANN
2002 European Heart Journal, Supplement  
Shortage of oxygen supply due to inadequate perfusion induces depressed contractile function in viable myocardium (hibernation) or myocardial cell death (myocardial infarction). The present review addresses the role of revascularization in the prevention of myocardial infarction in acute coronary syndromes, optimization of myocardial salvage once myocardial infarction has occurred, and treatment of hibernating myocardium. In acute coronary syndromes, the risk for death and myocardial infarction
more » ... ocardial infarction can be reduced by systematic revascularization in combination with modern antithrombotic treatment (early invasive strategy). In acute myocardial infarction, myocardial salvage can be maximized by stent-supported angioplasty in combination with glycoprotein IIb/IIIa receptor blockade. If hibernating myocardium is identified by dobutamine echocardiography, nuclear imaging techniques or magnet resonance imaging, then revascularization will improve contractile function and longterm outcome in most patients. (Eur Heart J Supplements 2002; 4 (Suppl G): G35-G42)
doi:10.1016/s1520-765x(02)90088-x fatcat:5pkq4vzhkjhsbjq7fqktrlrsom