Table 1.
The Main Manifestations
of I/R Injury of the Heart |
The Mechanisms of Development of the Main Manifestations of I/R Injury | Refs. |
---|---|---|
Myocardial stunning | The Ca2+ overload of cardiomyocytes, activation of the Na+/H+ exchanger, 2Na+/Ca2+ exchanger and Na+/HCO3- symporter | Cohen M.V. et al., 2007 [3] Piper H.M. et al., 1999 [12] Rodriguez-Sinovas A. et al., 2009 [13] Herzog W.R. et al., 1997 [14] Lishmanov Y.B. et al., 2016 [15] Zhang H. et al., 2013 [16] Neri M. et al., 2017 [153] |
Coronary vascular dysfunction |
Pyroptosis of endothelial cells, inflammation of endothelial cells, apoptosis and especially autophagy of endothelial cells, damage of the endothelial glycocalyx | Sun W. et al., 2019 [155] Gollmann-Tepeköylü C. et al., 2020 [156] Zhen W. et al., 2020 [157] Araibi H. et al., 2020 [158] |
Ventricular arrhythmias | A decrease in repolarizing K+ currents, an increase in inward Ca2+ current, sympathetic nervous system activation, an increase in the cAMP level in cardiac cells, Ca2+ overload of cells, excess ROS production, neutrophil invasion in AAR, activation of 2Na+/Ca2+ exchange | Zhang H. et al., 2013 [16] Schwartz P.J., Stone H.L., 1980 [160] Bernier M. et al., 1986 [161] Lubbe W.F. et al., 1992 [162] Rosen M.R., 1995 [163] Dhein S. et al., 1995 [164] Antoons G. et al., 2012 [165] van der Weg K. et al., 2019 [166] |
The no-reflow phenomenon | Swelling of endothelial cells, aggregation of blood cells in the microvessels, an increase in blood viscosity, impaired endothelium-dependent and endothelium-independent vasodilation | Boag S.E. et al., 2017 [139] Kloner R.A., 1974 [169] Loke K.E. et al, 1998 [170] Haiyun L. et al., 2004 [171] Cecchi E. et al., 2009 [172] Ming X. et al., 2012 [173] |