Figure 1 Ischaemic conditioning

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Figure 1 Ischaemic conditioning Figure 1 | Ischaemic conditioning. This schema depicts the different forms of ischaemic conditioning, and their timing with respect to the index myocardial ischaemia and reperfusion episode. The clinical settings in which they have been tested (dark shading) or the clinical settings in which there is potential for application (light shading) are described below. Delayed preconditioning with one or more brief episodes of ischaemia–reperfusion can be delivered 48–72 h before the index ischaemic event, whereas classical preconditioning has to be delivered within 3 h of the index ischaemic episode. Perconditioning can be delivered after the onset of index myocardial ischaemia, but before reperfusion, whereas postconditioning has to be initiated within 1 min of reperfusion to be effective. Delayed postconditioning, which can be delivered up to 15–30 min into reperfusion, has not yet been investigated in the clinical setting, and remains a preclinical observation. PCI, percutaneous coronary intervention; STEMI, ST-segment elevation myocardial infarction. Hausenloy, D. J. & Yellon, D. M. (2016) Ischaemic conditioning and reperfusion injury Nat. Rev. Cardiol. doi:10.1038/nrcardio.2016.5