Myocardial Ischemia: Mechanisms, Reperfusion, Protection
Myocardial ischemia and subsequent reperfusion of the ischemic myocardium represent complex phenomena encompassing numerous physiological processes. This book aims at enhancing our understanding of these processes and stresses recent important development
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Myocardial Ischemia: Mechanisms, Reperfusion, Protection Edited by M. Karmazyn
Birkhauser Verlag Basel . Boston . Berlin
Editor
Morris Karmazyn, PhD Professor and Career Investigator of the Heart and Stroke Foundation of Ontario Department of Pharmacology and Toxicology University of Western Ontario Medical Sciences Building London, Ontario Canada N6A 5CI Library of Congress Cataloging-in-Publication Data Myocardial ischemia: mechanisms, reperfusion, protection / edited by M. Karmazyn. p. em. - (EXS; 76) Includes bibliographical references and index. I. Coronary heart disease - Pathophysiology. 2. Myocardial reperfusion. 3. Heart - Adaptation. I. Karmazyn, M. (Morris), 1950- . II. Series. [DNLM: I. Myocardial Ischemia - physiopathology. 2. Myocardial Reperfusion. WI E65 v. 76 1996/ WG 300 M99765 1996] RC685.C6M9593 1996 616.1'2307 - dc20 DNLM/DLC Deutsche Bibliothek Cataloging-in-Publication Data EXS. - Basel; Boston; Berlin: Birkhiiuser. Friiher Schriftenreihe Fortlaufende Beil. zu: Experientia 76. Myocardial ischemia: mechanisms, reperfusion, protection. - 1996 Myocardial ischemia: mechanisms, reperfusion, protection / ed. by M. Karmazyn - Basel; Boston; Berlin: Birkhiiuser, 1996 (EXS; 76) ISBN-I3: 978-3-0348-9857-7 e-ISBN-I3: 978-3-0348-8988-9 DOl: 10.1 007/978-3-0348-8988-9 NE: Karmazyn, Morris [Hrsg.] The publisher and editor cannot assume any legal responsibility for information on drug dosage and administration contained in this publication. The respective user must check its accuracy by consulting other sources of reference in each individual case. The use of registered names, trademarks etc. in this publication, even if not identified as such, does not imply that they are exempt from the relevant protective laws and regulations or free for general use. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. For any kind of use, the permission of the copyright owner must be obtained.
© 1996 Birkhiiuser Verlag, P.O. Box 133, CH-4010 Basel, Switzerland Softcover reprint of the hardcover I st edition 1996 Printed on acid-free paper produced from chlorine-free pulp. TCF
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This book is dedicated to the memory of my wife and best friend Dr. Margaret Patricia (Marni) Moffat
who completed her human journey on June 16, 1994 and without whose physical and continued spiritual support and encouragement the completion and publication of this book would never have been possible.
"We are not humall beings having a spiritual experience. We are spiritual beings having a human experience"
Pierre Teilhard de Chardin (1881 - 1955)
Contents Dedication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
V
M. Karmazyn Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
XI
Nitric
