Ann Thorac Surg 2004;78:889
© 2004 The Society of Thoracic Surgeons
Invited commentary
Daniel R. Meldrum, MD
Departments of Surgery and Physiology, Indiana University Medical Center, 545 Barnhill Dr, Emerson 215, Indianapolis, IN 46033 USA
dmeldrum@iupui.edu
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Vogt and colleagues present a brilliant, quantifiable method of determining the severity, and possibly the duration, of angina in patients. Additionally, Vogt and colleagues provide a basic science explanation for some of the observations of the TIMI-9B. Experimentally, it appears as though any severe stress, whether it is trauma, shock, ischemia, near-drowning, extreme exercise (marathons), or even a prolonged exposure to deafening noises, induces endogenous stress proteins that provide protection against a subsequent insult. Some of these proteins are called heat shock proteins, their name harkening back to the stress first known to induce their expression. Although stress proteins, such as the heat shock protein 70 (HSP-70) referred to here, provide potent tissue protection, capturing their . . . [Full Text of this Article]
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Ann. Thorac. Surg. 2004 78: 883-889.
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Copyright © 2004 by The Society of Thoracic Surgeons.