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Published in: BMC Cardiovascular Disorders 1/2020

Open Access 01-12-2020 | Myocardial Infarction | Research article

Intermittent hypoxia reduces infarct size in rats with acute myocardial infarction: a systematic review and meta-analysis

Authors: Ke Hu, Wei Deng, Jing Yang, Yu Wei, Chaolin Wen, Xingsheng Li, Qingwei Chen, Dazhi Ke, Guiqiong Li

Published in: BMC Cardiovascular Disorders | Issue 1/2020

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Abstract

Background

To determine whether intermittent hypoxia (IH) can reduce the infarct size (IS) after acute myocardial infarction (AMI) in rats.

Methods

Articles were identified in PubMed, EMBASE and the Web of Science and were included if they evaluated the effect of IH on the changes in the infarcted area after AMI in rats.

Results

A preliminary search identified 3633 articles and 29 data sets from 23 articles (12 in vivo, 16 in vitro). The IS decreased after AMI in IH rats both in vitro (SMD -1.46, 95% CI [− 2.37, − 0.55]; I2 = 85.6%, P = 0.000) and in vivo (SMD -1.43, 95% CI [− 2.05, − 0.82], I2 = 73.6%, P = 0.000). Sensitivity analysis indicated that IH had a strong protective effect against myocardial infarction, and the hypoxia concentration was significantly correlated with the change in IS after AMI.

Conclusion

IH can reduce IS after AMI in rats. This effect of IH may be related to the dose of hypoxia, and the oxygen concentration may be one of the most important influencing factors.
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Literature
1.
go back to reference Navarrete-Opazo A, Mitchell GS. Therapeutic potential of intermittent hypoxia: a matter of dose. Am J Physiol Regul Integr Comp Physiol. 2014;307:R1181–97.PubMedPubMedCentralCrossRef Navarrete-Opazo A, Mitchell GS. Therapeutic potential of intermittent hypoxia: a matter of dose. Am J Physiol Regul Integr Comp Physiol. 2014;307:R1181–97.PubMedPubMedCentralCrossRef
2.
go back to reference Almendros I, Wang Y, Gozal D. The polymorphic and contradictory aspects of intermittent hypoxia. Am J Physiol Lung Cell Mol Physiol. 2014;307:L129–40.PubMedPubMedCentralCrossRef Almendros I, Wang Y, Gozal D. The polymorphic and contradictory aspects of intermittent hypoxia. Am J Physiol Lung Cell Mol Physiol. 2014;307:L129–40.PubMedPubMedCentralCrossRef
3.
go back to reference Kasparova D, Neckar J, Dabrowska L, Novotny J, Mraz J, Kolar F, et al. Cardioprotective and nonprotective regimens of chronic hypoxia diversely affect the myocardial antioxidant systems. Physiol Genomics. 2015;47:612–20.PubMedCrossRef Kasparova D, Neckar J, Dabrowska L, Novotny J, Mraz J, Kolar F, et al. Cardioprotective and nonprotective regimens of chronic hypoxia diversely affect the myocardial antioxidant systems. Physiol Genomics. 2015;47:612–20.PubMedCrossRef
4.
go back to reference Yuan F, Zhang L, Li YQ, Teng X, Tian SY, Wang XR, et al. Chronic intermittent hypobaric hypoxia improves cardiac function through inhibition of endoplasmic reticulum stress. Sci Rep. 2017;7(1):7922.PubMedPubMedCentralCrossRef Yuan F, Zhang L, Li YQ, Teng X, Tian SY, Wang XR, et al. Chronic intermittent hypobaric hypoxia improves cardiac function through inhibition of endoplasmic reticulum stress. Sci Rep. 2017;7(1):7922.PubMedPubMedCentralCrossRef
5.
go back to reference Rachok LV, Dubovik TA. Effects of adaptation to intermittent normobaric hypoxia in the patients with ischemic cardiomyopathy. Eur J Heart Fail. 2016;18:207–8. Rachok LV, Dubovik TA. Effects of adaptation to intermittent normobaric hypoxia in the patients with ischemic cardiomyopathy. Eur J Heart Fail. 2016;18:207–8.
6.
go back to reference Shah N, Redline S, Yaggi HK, Wu R, Zhao CG, Ostfeld R, et al. Obstructive sleep apnea and acute myocardial infarction severity: ischemic preconditioning? Sleep Breath. 2013;17(2):819–26.PubMedCrossRef Shah N, Redline S, Yaggi HK, Wu R, Zhao CG, Ostfeld R, et al. Obstructive sleep apnea and acute myocardial infarction severity: ischemic preconditioning? Sleep Breath. 2013;17(2):819–26.PubMedCrossRef
7.
go back to reference Ehrenburg I, Tkatchouk E, Burtscher M. Interval hypoxic training in rehabilitation of patients with coronary artery disease. Sleep and Breathing. 2012;16:250. Ehrenburg I, Tkatchouk E, Burtscher M. Interval hypoxic training in rehabilitation of patients with coronary artery disease. Sleep and Breathing. 2012;16:250.
8.
go back to reference Estrada JA, Williams AG Jr, Sun J, Gonzalez L, Downey HF, Caffrey JL, et al. Delta-opioid receptor (DOR) signaling and reactive oxygen species (ROS) mediate intermittent hypoxia induced protection of canine myocardium. Basic Res Cardiol. 2016;111(2):17.PubMedCrossRef Estrada JA, Williams AG Jr, Sun J, Gonzalez L, Downey HF, Caffrey JL, et al. Delta-opioid receptor (DOR) signaling and reactive oxygen species (ROS) mediate intermittent hypoxia induced protection of canine myocardium. Basic Res Cardiol. 2016;111(2):17.PubMedCrossRef
9.
go back to reference Zong P, Setty S, Sun W, Martinez R, Tune JD, Ehrenburg IV, et al. Intermittent hypoxic training protects canine myocardium from infarction. Exp Biol Med (Maywood). 2004;229(8):806–12.CrossRef Zong P, Setty S, Sun W, Martinez R, Tune JD, Ehrenburg IV, et al. Intermittent hypoxic training protects canine myocardium from infarction. Exp Biol Med (Maywood). 2004;229(8):806–12.CrossRef
10.
go back to reference Aguilar M, Gonzalez-Candia A, Rodriguez J, Carrasco-Pozo C, Canas D, Garcia-Herrera C, et al. Mechanisms of cardiovascular protection associated with intermittent hypobaric hypoxia exposure in a rat model: role of oxidative stress. Int J Mol Sci. 2018;19(2):366.PubMedCentralCrossRef Aguilar M, Gonzalez-Candia A, Rodriguez J, Carrasco-Pozo C, Canas D, Garcia-Herrera C, et al. Mechanisms of cardiovascular protection associated with intermittent hypobaric hypoxia exposure in a rat model: role of oxidative stress. Int J Mol Sci. 2018;19(2):366.PubMedCentralCrossRef
11.
go back to reference Kohutova J, Elsnicova B, Holzerova K, Neckar J, Sebesta O, Jezkova J, et al. Anti-arrhythmic cardiac phenotype elicited by chronic intermittent hypoxia is associated with alterations in Connexin-43 expression, phosphorylation, and distribution. Front Endocrinol. 2018;9:789.CrossRef Kohutova J, Elsnicova B, Holzerova K, Neckar J, Sebesta O, Jezkova J, et al. Anti-arrhythmic cardiac phenotype elicited by chronic intermittent hypoxia is associated with alterations in Connexin-43 expression, phosphorylation, and distribution. Front Endocrinol. 2018;9:789.CrossRef
12.
go back to reference Sun H, Zhang H, Li K, Wu H, Zhan X, Fang F, et al. ESM-1 promotes adhesion between monocytes and endothelial cells under intermittent hypoxia. J Cell Physiol. 2019;234(2):1512–21.PubMedCrossRef Sun H, Zhang H, Li K, Wu H, Zhan X, Fang F, et al. ESM-1 promotes adhesion between monocytes and endothelial cells under intermittent hypoxia. J Cell Physiol. 2019;234(2):1512–21.PubMedCrossRef
13.
go back to reference Serebrovska TV, Portnychenko AG, Drevytska TI, Portnichenko VI, Xi L, Egorov E, et al. Intermittent hypoxia training in prediabetes patients: Beneficial effects on glucose homeostasis, hypoxia tolerance and gene expression. Ex Biol Med (Maywood). 2017;242:1542–52.CrossRef Serebrovska TV, Portnychenko AG, Drevytska TI, Portnichenko VI, Xi L, Egorov E, et al. Intermittent hypoxia training in prediabetes patients: Beneficial effects on glucose homeostasis, hypoxia tolerance and gene expression. Ex Biol Med (Maywood). 2017;242:1542–52.CrossRef
14.
go back to reference Costalat G, Lemaitre F, Tobin B, Renshaw G. Intermittent hypoxia revisited: a promising non-pharmaceutical strategy to reduce cardio-metabolic risk factors? Sleep Breath. 2018;22(1):267–71.PubMedCrossRef Costalat G, Lemaitre F, Tobin B, Renshaw G. Intermittent hypoxia revisited: a promising non-pharmaceutical strategy to reduce cardio-metabolic risk factors? Sleep Breath. 2018;22(1):267–71.PubMedCrossRef
15.
go back to reference Manukhina EB, Downey HF, Shi X, Mallet RT. Intermittent hypoxia training protects cerebrovascular function in Alzheimer's disease. Ex Biol Med (Maywood). 2016;241:1351–63.CrossRef Manukhina EB, Downey HF, Shi X, Mallet RT. Intermittent hypoxia training protects cerebrovascular function in Alzheimer's disease. Ex Biol Med (Maywood). 2016;241:1351–63.CrossRef
16.
go back to reference Ramond A, Godin-Ribuot D, Ribuot C, Totoson P, Koritchneva I, Cachot S, et al. Oxidative stress mediates cardiac infarction aggravation induced by intermittent hypoxia. Fundam Clin Pharmacol. 2013;27:252–61.PubMedCrossRef Ramond A, Godin-Ribuot D, Ribuot C, Totoson P, Koritchneva I, Cachot S, et al. Oxidative stress mediates cardiac infarction aggravation induced by intermittent hypoxia. Fundam Clin Pharmacol. 2013;27:252–61.PubMedCrossRef
17.
go back to reference Milano G, Bianciardi P, Rochemont V, Vassalli G, Segesser LK, Corno AF, et al. Phosphodiesterase-5 inhibition mimics intermittent reoxygenation and improves cardioprotection in the hypoxic myocardium. PLoS One. 2011;6(11):e27910.PubMedPubMedCentralCrossRef Milano G, Bianciardi P, Rochemont V, Vassalli G, Segesser LK, Corno AF, et al. Phosphodiesterase-5 inhibition mimics intermittent reoxygenation and improves cardioprotection in the hypoxic myocardium. PLoS One. 2011;6(11):e27910.PubMedPubMedCentralCrossRef
18.
go back to reference Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.PubMedPubMedCentralCrossRef Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.PubMedPubMedCentralCrossRef
19.
go back to reference O’Connor D, Green S, Higgins JP. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: Wiley. p. 81–94. O’Connor D, Green S, Higgins JP. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: Wiley. p. 81–94.
20.
go back to reference McGrath JC, Drummond GB, McLachlan EM, Kilkenny C, Wainwright CL. Guidelines for reporting experiments involving animals: the ARRIVE guidelines. Br J Pharmacol. 2010;160:1573–6.PubMedPubMedCentralCrossRef McGrath JC, Drummond GB, McLachlan EM, Kilkenny C, Wainwright CL. Guidelines for reporting experiments involving animals: the ARRIVE guidelines. Br J Pharmacol. 2010;160:1573–6.PubMedPubMedCentralCrossRef
21.
go back to reference Kilkenny C, Browne WJ, Cuthill IC, Emerson M, Altman DG. Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research. J Pharmacol Pharmacother. 2010;1:94–9.PubMedPubMedCentralCrossRef Kilkenny C, Browne WJ, Cuthill IC, Emerson M, Altman DG. Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research. J Pharmacol Pharmacother. 2010;1:94–9.PubMedPubMedCentralCrossRef
22.
go back to reference Macleod MR, O'Collins T, Howells DW, Donnan GA. Pooling of animal experimental data reveals influence of study design and publication bias. Stroke. 2004;35:1203–8.PubMedCrossRef Macleod MR, O'Collins T, Howells DW, Donnan GA. Pooling of animal experimental data reveals influence of study design and publication bias. Stroke. 2004;35:1203–8.PubMedCrossRef
23.
go back to reference Crossley NA, Sena E, Goehler J, Horn J, van der Worp B, Bath PM, et al. Empirical evidence of bias in the design of experimental stroke studies: a metaepidemiologic approach. Stroke. 2008;39:929–34.PubMedCrossRef Crossley NA, Sena E, Goehler J, Horn J, van der Worp B, Bath PM, et al. Empirical evidence of bias in the design of experimental stroke studies: a metaepidemiologic approach. Stroke. 2008;39:929–34.PubMedCrossRef
24.
go back to reference Li XY, Liu Y, Ma HJ, Guan Y, Cao Y, Tian YM, et al. Enhancement of glucose metabolism via PGC-1 alpha participates in the Cardioprotection of chronic intermittent hypobaric hypoxia. Front Physiol. 2016;7:219.PubMedPubMedCentral Li XY, Liu Y, Ma HJ, Guan Y, Cao Y, Tian YM, et al. Enhancement of glucose metabolism via PGC-1 alpha participates in the Cardioprotection of chronic intermittent hypobaric hypoxia. Front Physiol. 2016;7:219.PubMedPubMedCentral
25.
go back to reference Meng XY, Yu HL, Zhang WC, Wang TH, Mai X, Liu HT, et al. ZFP580, a novel zinc-finger transcription factor, is involved in cardioprotection of intermittent high-altitude hypoxia against myocardial ischemia-reperfusion injury. PLoS One. 2014;9:e94635.PubMedPubMedCentralCrossRef Meng XY, Yu HL, Zhang WC, Wang TH, Mai X, Liu HT, et al. ZFP580, a novel zinc-finger transcription factor, is involved in cardioprotection of intermittent high-altitude hypoxia against myocardial ischemia-reperfusion injury. PLoS One. 2014;9:e94635.PubMedPubMedCentralCrossRef
26.
go back to reference Ma HJ, Li Q, Ma HJ, Guan Y, Shi M, Yang J, et al. Chronic intermittent hypobaric hypoxia ameliorates ischemia/reperfusion-induced calcium overload in heart via Na/Ca2+ exchanger in developing rats. Cell Physiol Biochem. 2014;34:313–24.PubMedCrossRef Ma HJ, Li Q, Ma HJ, Guan Y, Shi M, Yang J, et al. Chronic intermittent hypobaric hypoxia ameliorates ischemia/reperfusion-induced calcium overload in heart via Na/Ca2+ exchanger in developing rats. Cell Physiol Biochem. 2014;34:313–24.PubMedCrossRef
27.
go back to reference Gao L, Chen L, Lu ZZ, Gao H, Wu L, Chen YX, et al. Activation of α1B-adrenoceptors contributes to intermittent hypobaric hypoxia-improved postischemic myocardial performance via inhibiting MMP-2 activation. Am J Physiol Heart Circ Physiol. 2014;306:H1569–81.PubMedCrossRef Gao L, Chen L, Lu ZZ, Gao H, Wu L, Chen YX, et al. Activation of α1B-adrenoceptors contributes to intermittent hypobaric hypoxia-improved postischemic myocardial performance via inhibiting MMP-2 activation. Am J Physiol Heart Circ Physiol. 2014;306:H1569–81.PubMedCrossRef
28.
go back to reference Manukhina EB, Belkina LM, Terekhina OL, Abramochkin DV, Smirnova EA, Budanova OP, et al. Normobaric, intermittent hypoxia conditioning is cardio- and vasoprotective in rats. Exp Biol Med (Maywood). 2013;238(12):1413–20.PubMedCrossRef Manukhina EB, Belkina LM, Terekhina OL, Abramochkin DV, Smirnova EA, Budanova OP, et al. Normobaric, intermittent hypoxia conditioning is cardio- and vasoprotective in rats. Exp Biol Med (Maywood). 2013;238(12):1413–20.PubMedCrossRef
29.
go back to reference Wang ZH, Chen YX, Zhang CM, Wu L, Yu Z, Cai XL, et al. Intermittent hypobaric hypoxia improves postischemic recovery of myocardial contractile function via redox signaling during early reperfusion. Am J Physiol Heart Circ Physiol. 2011;301:H1695–705.PubMedCrossRef Wang ZH, Chen YX, Zhang CM, Wu L, Yu Z, Cai XL, et al. Intermittent hypobaric hypoxia improves postischemic recovery of myocardial contractile function via redox signaling during early reperfusion. Am J Physiol Heart Circ Physiol. 2011;301:H1695–705.PubMedCrossRef
30.
go back to reference Belaidi E, Beguin PC, Levy P, Ribuot C, Godin-Ribuot D. Prevention of HIF-1 activation and iNOS gene targeting by low-dose cadmium results in loss of myocardial hypoxic preconditioning in the rat. Am J Physiol Heart Circ Physiol. 2008;294:H901–8.PubMedCrossRef Belaidi E, Beguin PC, Levy P, Ribuot C, Godin-Ribuot D. Prevention of HIF-1 activation and iNOS gene targeting by low-dose cadmium results in loss of myocardial hypoxic preconditioning in the rat. Am J Physiol Heart Circ Physiol. 2008;294:H901–8.PubMedCrossRef
31.
go back to reference Yeung HM, Kravtsov GM, Ng KM, Wong TM, Fung ML. Chronic intermittent hypoxia alters Ca2+ handling in rat cardiomyocytes by augmented Na+/Ca2+ exchange and ryanodine receptor activities in ischemia-reperfusion. Am J Physiol Cell physiol. 2007;292:C2046–56.PubMedCrossRef Yeung HM, Kravtsov GM, Ng KM, Wong TM, Fung ML. Chronic intermittent hypoxia alters Ca2+ handling in rat cardiomyocytes by augmented Na+/Ca2+ exchange and ryanodine receptor activities in ischemia-reperfusion. Am J Physiol Cell physiol. 2007;292:C2046–56.PubMedCrossRef
32.
go back to reference Ravingerová T, Matejíková J, Neckář J, Andelová E, Kolář F. Differential role of PI3K/Akt pathway in the infarct size limitation and antiarrhythmic protection in the rat heart. Mol Cell Biochem. 2007;297:111–20.PubMedCrossRef Ravingerová T, Matejíková J, Neckář J, Andelová E, Kolář F. Differential role of PI3K/Akt pathway in the infarct size limitation and antiarrhythmic protection in the rat heart. Mol Cell Biochem. 2007;297:111–20.PubMedCrossRef
33.
go back to reference Kolár F, Jezkova J, Balkova P, Breh J, Neckar J, Novak F, et al. Role of oxidative stress in PKC-delta upregulation and cardioprotection induced by chronic intermittent hypoxia. Am J Physiol Heart Circ Physiol. 2007;292:H224–30.PubMedCrossRef Kolár F, Jezkova J, Balkova P, Breh J, Neckar J, Novak F, et al. Role of oxidative stress in PKC-delta upregulation and cardioprotection induced by chronic intermittent hypoxia. Am J Physiol Heart Circ Physiol. 2007;292:H224–30.PubMedCrossRef
34.
go back to reference Béguin PC, Belaidi E, Godin-Ribuot D, Levy P, Ribuot C. Intermittent hypoxia-induced delayed cardioprotection is mediated by PKC and triggered by p38 MAP kinase and Erk1/2. J Mol Cell Cardiol. 2007;42:343–51.PubMedCrossRef Béguin PC, Belaidi E, Godin-Ribuot D, Levy P, Ribuot C. Intermittent hypoxia-induced delayed cardioprotection is mediated by PKC and triggered by p38 MAP kinase and Erk1/2. J Mol Cell Cardiol. 2007;42:343–51.PubMedCrossRef
35.
go back to reference Zhu WZ, Xie Y, Chen L, Yang HT, Zhou ZN. Intermittent high altitude hypoxia inhibits opening of mitochondrial permeability transition pores against reperfusion injury. J Mol Cell Cardiol. 2006;40:96–106.PubMedCrossRef Zhu WZ, Xie Y, Chen L, Yang HT, Zhou ZN. Intermittent high altitude hypoxia inhibits opening of mitochondrial permeability transition pores against reperfusion injury. J Mol Cell Cardiol. 2006;40:96–106.PubMedCrossRef
36.
go back to reference Kolár F, Neckar J, Ostadal B. MCC-134, a blocker of mitochondrial and opener of sarcolemmal ATP-sensitive K+ channels, abrogates cardioprotective effects of chronic hypoxia. Physiol Res. 2005;54:467–71.PubMed Kolár F, Neckar J, Ostadal B. MCC-134, a blocker of mitochondrial and opener of sarcolemmal ATP-sensitive K+ channels, abrogates cardioprotective effects of chronic hypoxia. Physiol Res. 2005;54:467–71.PubMed
37.
go back to reference Béguin PC, Joyeux-Faure M, Godin-Ribuot D, Lévy P, Ribuot C. Acute intermittent hypoxia improves rat myocardium tolerance to ischemia. J Appl Physiol. 2005;99:1064–9.PubMedCrossRef Béguin PC, Joyeux-Faure M, Godin-Ribuot D, Lévy P, Ribuot C. Acute intermittent hypoxia improves rat myocardium tolerance to ischemia. J Appl Physiol. 2005;99:1064–9.PubMedCrossRef
38.
go back to reference Joyeux-Faure M, Stanke-Labesque F, Lefebvre B, Béguin P, Godin-Ribuot D, Ribuot C, et al. Chronic intermittent hypoxia increases infarction in the isolated rat heart. J Appl Physiol. 2005;98:1691–6.PubMedCrossRef Joyeux-Faure M, Stanke-Labesque F, Lefebvre B, Béguin P, Godin-Ribuot D, Ribuot C, et al. Chronic intermittent hypoxia increases infarction in the isolated rat heart. J Appl Physiol. 2005;98:1691–6.PubMedCrossRef
39.
go back to reference Neckár J, Markova I, Novak F, Novakova O, Szarszoi O, Ost'adal B, et al. Increased expression and altered subcellular distribution of PKC-delta in chronically hypoxic rat myocardium: involvement in cardioprotection. Am J Physiol Heart Circ Physiol. 2005;288:H1566–72.PubMedCrossRef Neckár J, Markova I, Novak F, Novakova O, Szarszoi O, Ost'adal B, et al. Increased expression and altered subcellular distribution of PKC-delta in chronically hypoxic rat myocardium: involvement in cardioprotection. Am J Physiol Heart Circ Physiol. 2005;288:H1566–72.PubMedCrossRef
40.
go back to reference Neckár J, Ošťádal B, Kolář F. Myocardial infarct size-limiting effect of chronic hypoxia persists for five weeks of normoxic recovery. Physiol Res. 2004;53:621–8.PubMed Neckár J, Ošťádal B, Kolář F. Myocardial infarct size-limiting effect of chronic hypoxia persists for five weeks of normoxic recovery. Physiol Res. 2004;53:621–8.PubMed
41.
go back to reference Neckár J, Szárszoi O, Koten L, Papoušek F, Ošt'ádal B, Grover GJ, et al. Effects of mitochondrial KATP modulators on cardioprotection induced by chronic high altitude hypoxia in rats. Cardiovasc Res. 2002;55:567–75. Neckár J, Szárszoi O, Koten L, Papoušek F, Ošt'ádal B, Grover GJ, et al. Effects of mitochondrial KATP modulators on cardioprotection induced by chronic high altitude hypoxia in rats. Cardiovasc Res. 2002;55:567–75.
42.
go back to reference Neckár J, Papousek F, Novakova O, Ost'adal B, Kolar F. Cardioprotective effects of chronic hypoxia and ischaemic preconditioning are not additive. Basic Res Cardiol. 2002;97:161–7.PubMedCrossRef Neckár J, Papousek F, Novakova O, Ost'adal B, Kolar F. Cardioprotective effects of chronic hypoxia and ischaemic preconditioning are not additive. Basic Res Cardiol. 2002;97:161–7.PubMedCrossRef
43.
go back to reference Heusch G. Molecular basis of Cardioprotection signal transduction in ischemic pre-, post-, and remote conditioning. Circ Res. 2015;116(4):674–99.PubMedCrossRef Heusch G. Molecular basis of Cardioprotection signal transduction in ischemic pre-, post-, and remote conditioning. Circ Res. 2015;116(4):674–99.PubMedCrossRef
44.
go back to reference van Eickels M, Patten RD, Aronovitz MJ, Alsheikh-Ali A, Gostyla K, Celestin F, et al. 17-beta-estradiol increases cardiac remodeling and mortality in mice with myocardial infarction. J Am Coll Cardiol. 2003;41(11):2084–92.PubMedCrossRef van Eickels M, Patten RD, Aronovitz MJ, Alsheikh-Ali A, Gostyla K, Celestin F, et al. 17-beta-estradiol increases cardiac remodeling and mortality in mice with myocardial infarction. J Am Coll Cardiol. 2003;41(11):2084–92.PubMedCrossRef
45.
go back to reference Terrell AM, Crisostomo PR, Markel TA, Wang M, Abarbanell AM, Herrmann JL, et al. Postischemic infusion of 17-beta-estradiol protects myocardial function and viability. J Surg Res. 2008;146:218–24.PubMedCrossRef Terrell AM, Crisostomo PR, Markel TA, Wang M, Abarbanell AM, Herrmann JL, et al. Postischemic infusion of 17-beta-estradiol protects myocardial function and viability. J Surg Res. 2008;146:218–24.PubMedCrossRef
46.
go back to reference de Almeida SA, Claudio ERG, Mengal V, Brasil GA, Merlo E, Podratz PL, et al. Estrogen therapy worsens cardiac function and remodeling and reverses the effects of exercise training after myocardial infarction in Ovariectomized female rats. Front Physiol. 2018;9:1242.PubMedPubMedCentralCrossRef de Almeida SA, Claudio ERG, Mengal V, Brasil GA, Merlo E, Podratz PL, et al. Estrogen therapy worsens cardiac function and remodeling and reverses the effects of exercise training after myocardial infarction in Ovariectomized female rats. Front Physiol. 2018;9:1242.PubMedPubMedCentralCrossRef
Metadata
Title
Intermittent hypoxia reduces infarct size in rats with acute myocardial infarction: a systematic review and meta-analysis
Authors
Ke Hu
Wei Deng
Jing Yang
Yu Wei
Chaolin Wen
Xingsheng Li
Qingwei Chen
Dazhi Ke
Guiqiong Li
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2020
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-020-01702-y

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