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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Povsic, Thomas J. O'Connor, Christopher M. |
| Description | Country affiliation: United States Author Affiliation: Povsic TJ ( Division of Cardiology, Duke University Medical Center, Durham, NC 27710, USA. povsi001@mc.duke.edu) |
| Abstract | Improvements in the treatment of ischemic heart disease have led to a significant growth in the numbers of patients with systolic heart failure secondary to myocardial injury. Current therapies fail to address the loss of contractile tissue due to myocardial injury. Cell therapy is singular in its promise of primarily treating this underlying issue through salvage of viable myocardium or generation of new contractile tissue. Multiple cell types have been used to target acute myocardial infarction, chronic ischemic heart disease and heart failure due to infarction. Bone marrow mononuclear cells have been used to increase myocardial salvage after acute infarction. Randomized trials of over 800 patients have demonstrated no safety issues, and meta-analyses have suggested an improvement in left ventricular function in treated patients with trends toward improvements in hard cardiac end points. Cell therapy for chronic ischemic heart disease with bone marrow angiogenic progenitors has shown similar safety and trends toward improvement in function. While these therapies have targeted patients with viable myocardium, myoblasts have been used to treat patients with left ventricular dysfunction secondary to transmural infarction. Cell types with cardiomyogenic potential, including induced pluripotent stem cells and cardiac progenitor cells, offer the promise of true myocardial regeneration. Future studies with these cells may open the door for true myocardial regeneration. |
| File Format | HTM / HTML |
| ISSN | 14779072 |
| Issue Number | 8 |
| Volume Number | 8 |
| e-ISSN | 17448344 |
| Journal | Expert Review of Cardiovascular Therapy |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2010-08-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Therapeutics Discipline Cardiology Discipline Vascular Diseases Cell- And Tissue-based Therapy Methods Heart Failure Therapy Myocardium Pathology Animals Physiopathology Humans Myoblasts Transplantation Myocardial Infarction Myocardial Ischemia Randomized Controlled Trials As Topic Regeneration Stem Cell Transplantation Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Internal Medicine Cardiology and Cardiovascular Medicine |
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