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. 2011 Mar 12;32(15):1846–1853. doi: 10.1093/eurheartj/ehr063

Table 1.

A common signal–transducer–effector pathway to cardiomyocyte necrosis in acute and chronic stressor states

Stressor state
Acute Chronic
Neurohormonal activation
 HPA axis + +
 ANS + +
 RAAS + +

Cation dyshomeostasis
 ↑ [Ca2+]i & [Ca2+]m + +
 ↑ [Zn2+]i & [Zn2+]m ± +

Oxidative stress > antioxidant defences + +
mPTP opening + +