Le Page Sophie, Prunier Fabrice
L'UNAM Université, Université d'Angers, EA 3860 Cardioprotection, Remodelage et Thrombose, CHU Angers, Service de Cardiologie, Angers, France.
L'UNAM Université, Université d'Angers, EA 3860 Cardioprotection, Remodelage et Thrombose, CHU Angers, Service de Cardiologie, Angers, France.
J Cardiol. 2015 Aug;66(2):91-6. doi: 10.1016/j.jjcc.2015.01.009. Epub 2015 Mar 2.
Remote ischemic conditioning (RIC) constitutes a promising method in which a tissue or organ is exposed to intermittent ischemia/reperfusion periods enabling it to provide protection to a distant target organ. RIC has been tested in various clinical settings through its simple application by means of intermittent inflation of a blood pressure cuff placed on a limb, primarily evaluating its potential abilities to decrease myocardial injury biomarkers. Its use on other organs, such as the kidneys or brain, has recently been a topic of research. To date, no study has yet been powerful enough to reach a conclusion on the potential benefit of RIC on clinical outcomes. The future role of RIC in the clinical arena could be clarified by the large phase III trials currently underway targeting major outcomes as primary endpoints.
远程缺血预处理(RIC)是一种很有前景的方法,即让组织或器官经历间歇性缺血/再灌注期,使其能够为远处的靶器官提供保护。通过简单地应用置于肢体上的血压袖带进行间歇性充气,RIC已在各种临床环境中进行了测试,主要评估其降低心肌损伤生物标志物的潜在能力。它在其他器官(如肾脏或大脑)上的应用最近已成为研究课题。迄今为止,尚无研究有足够的说服力就RIC对临床结局的潜在益处得出结论。目前正在进行的以主要结局为主要终点的大型III期试验可能会阐明RIC在临床领域的未来作用。