TY - BOOK AU - Waksman, Ron TI - Ischemic preconditioning-an unfulfilled promise. [Review] SN - 1878-0938 PY - 2015/// KW - *Angioplasty, Balloon, Coronary/mt [Methods] KW - *Coronary Artery Bypass/mt [Methods] KW - *Coronary Artery Disease/th [Therapy] KW - *Ischemic Preconditioning, Myocardial/mt [Methods] KW - *Myocardial Infarction/th [Therapy] KW - *Myocardial Reperfusion Injury/pc [Prevention & Control] KW - Angioplasty, Balloon, Coronary/ae [Adverse Effects] KW - Coronary Angiography/mt [Methods] KW - Coronary Artery Bypass/ae [Adverse Effects] KW - Coronary Artery Disease/ra [Radiography] KW - Female KW - Follow-Up Studies KW - Humans KW - Ischemic Preconditioning, Myocardial/ae [Adverse Effects] KW - Male KW - Myocardial Infarction/di [Diagnosis] KW - Needs Assessment KW - Patient Safety KW - Severity of Illness Index KW - Treatment Outcome KW - MedStar Heart & Vascular Institute KW - Comparative Study KW - Journal Article KW - Review N1 - Available in print through MWHC library: 2002 - present N2 - Myocardial reperfusion injury has been identified as a key determinant of myocardial infarct size in patients undergoing percutaneous or surgical interventions. Although the molecular mechanisms underpinning reperfusion injury have been elucidated, attempts at translating this understanding into clinical benefit for patients undergoing cardiac interventions have produced mixed results. Ischemic conditioning has been applied before, during, or after an ischemic insult to the myocardium and has taken the form of local induction of ischemia or ischemia of distant tissues. Clinical studies have confirmed the safety of differing conditioning techniques, but the benefit of such techniques in reducing hard clinical event rates has produced mixed results. The aim of this article is to review the role of ischemic conditioning in patients undergoing percutaneous and surgical coronary revascularization.Copyright � 2014 Elsevier Inc. All rights reserved UR - http://dx.doi.org/10.1016/j.carrev.2014.12.010 ER -