Coronary flow response to remote ischemic preconditioning is preserved in old cardiac patients

Autor: Elpidio Santillo, Fabrizio Balestrini, Monica Migale, Fabrizia Lattanzio, Raffaele Antonelli-Incalzi, Demetrio Postacchini, Silvia Bustacchini
Rok vydání: 2017
Předmět:
Zdroj: Aging Clinical and Experimental Research. 30:829-837
ISSN: 1720-8319
DOI: 10.1007/s40520-017-0845-1
Popis: The effect of remote ischemic preconditioning (RIPC) on coronary flow in elderly cardiac patients has not been investigated yet. Thus, we aimed to study the change of coronary flow subsequent to RIPC in old patients with heart diseases and to identify its main correlates. Ninety-five elderly patients (aged ≥ 65 years) accessing cardiac rehabilitation ward underwent transthoracic ultrasound evaluation of peak diastolic flow velocity of left anterior descending artery. Measurements of coronary flow velocity were performed on baseline and after an RIPC protocol (three cycles of 5 min ischemia of right arm alternating 5 min reperfusion). Differences between subjects with coronary flow velocity change over or equal the 75° percentile (high-responders) and subjects with a coronary flow velocity change under the 75° percentile (low-responders) were assessed. In enrolled elderly heart patients, coronary flow velocity significantly augmented from baseline after RIPC [0.23 m/s (0.18–0.28) vs 0.27 m/s (0.22–0.36); p
Databáze: OpenAIRE