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Cardioprotection induced by changes in abiotic environmental factors
Kubátová, Hana ; Vybíral, Stanislav (advisor) ; Žurmanová, Jitka (referee)
Cardiovascular diseases are one of the most frequent causes of death worldwide. Methods of limiting the ischemia-reperfusion injury, which occurs as a result of acute myocardial infarction (MI), have therefore been receiving significant attention. Preconditioning through ischemia application, cold exposure or physical exercise reduces the size of an infarction and the occurrence of ventricular arrhythmias. The exact mechanism behind this process has not yet been fully comprehended; nevertheless important roles are played by factors such as the maintenance of calcium homeostasis, the opening of ATP-dependent potassium channels (KATP) and the prevention of the Mitochondrial Permeability Transition pore (MPTP) opening. Chronic hypoxia and exercise have also been proven to have a cardioprotective effect, which is to be at least partially attributed to the intensified activity of antioxidant enzymes and the opening of KATP. During winter the risk of MI is increased for a wide range of patients. In winter swimmers, the stress caused by a cold stimulus is reduced. However, a mild stress is necessary to initiating cardioprotection. At present, there is unfortunately insufficient information available regarding the effects of long term cold adaptation on the size reduction of MI. Some studies suggest,...
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