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Ischemic Conditioning Therapy:
A New Path for Treatment of
Endothelial Dysfunction
and CVD
Thursday, December 8, 2016, 2PM PST
Co-Presenter:
Morteza Naghavi, M.D.
Chairman of Scientific Advisory Board
Surface area > 3 tennis
courts!
www.endothelix.com
What is VENDYS®
technology?
How does VENDYS®
measure
vascular function?
VENDYS® Vascular Function Monitoring
Fingertip
Temperature
Sensors on
Both Index
Fingers
Blood Pressure “Occluding” Cuff
on Right Upper Arm
Vascular Function Monitoring
40 min occlusion plus 4 hours reperfusion in anesthetized rabbit; Left = control; Right = preconditioned with two 5 min occlusions plus 5 min reperfusion
before the long occlusion. Hale SL, Kloner RA Coronary Artery Disease 1992;3:133-140
Michael Rahbek Schmidt, Steen Buus
Kristiansen and Hans Erik Bøtker
Circulation Research. 2013;113:1278-1280
Philippe Kolh, M.D., Ph.D.
Service de Cardiochirurgie, CHU Sart
Tilman, B 35 Sart Tilman, Liege 4000,
Belgium
Exercise is a natural form of ischemic
conditioning. In other words, ischemic
conditioning is a medical form of exercise.
Arterioscler Thromb Vasc Biol. 2007 Jun;27(6)
Repetition of ischemic preconditioning
augments endothelium-pendent vasodilation
in humans: role of endothelium-derived
nitric oxide and endothelial progenitor cells.
Kimura M1, Ueda K, Goto C, Jitsuiki D, Nishioka K, Umemura T, Noma
K, Yoshizumi M, Chayama K, Higashi Y.
Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences,
Hiroshima University, 1-2-3 Kasumi, Mimami-ku, Hiroshima 734-8551, Japan.
Figure 1. Comparison of forearm blood flow (FBF) responses to acetylcholine (ACh) at 0
weeks and 4 weeks of follow-up in the control group (A) and in the ischemic preconditioning
untrained (contralateral) arm group (B) and ischemic preconditioning arm group (C).
Masashi Kimura et al. Arterioscler Thromb Vasc Biol.
2007;27:1403-1410
Figure 4. Measurement of the number of endothelial progenitor cells by flow cytometry at 0
weeks and 4 weeks of ischemic preconditioning stimuli (top).
Masashi Kimura et al. Arterioscler Thromb Vasc Biol.
2007;27:1403-1410
Figure 5. Correlation between maximal forearm blood flow (FBF) response to acetylcholine
(ACh) and number of endothelial progenitor cells at 0 weeks and 4 weeks of ischemic
preconditioning stimuli.
Masashi Kimura et al. Arterioscler Thromb Vasc Biol.
2007;27:1403-1410
Atherosclerosis. 2011 Dec;219(2):750-2. doi:
10.1016/j.atherosclerosis.2011.08.046. Epub 2011 Sep 7.
Effect of local and remote isc
hemic preconditioning on
endothelial function in young
people and healthy or
hypertensive elderly people.
Moro L, Pedone C, Mondì A, Nunziata E, Antonelli Incalzi R.
Area di Geriatria, Università Campus Biomedico, Roma, Italy.
Moro L, Pedone C, Mondì A, Nunziata E, Antonelli Incalzi R.
[CONFIDENTIAL]
Moro L, Pedone C, Mondì A, Nunziata E, Antonelli Incalzi R.
"We emphasize the critical need to take into account the
presence of cardiovascular risk factors and concomitant
medications when designing preclinical studies for the
identification and validation of cardioprotective drug targets and
clinical studies. This will hopefully maximize the success rate of
developing rational approaches to effective cardioprotective
therapies for the majority of patients with multiple risk factors."
The challenge of translating
ischemic conditioning from animal
models to humans: the role of
comorbidities
Kieran McCafferty,§, Suzanne
Forbes*, Christoph Thiemermann
and Muhammad M. Yaqoob
Disease Models & Mechanisms (2014) 7, 1321-1333
The rate of tissue deoxygenation differs between individuals.
Near-infrared
Spectroscopy (NIRS)
The rate of tissue deoxygenation differs between individuals.
Over 4000 articles published since
1986 on Ischemic Conditioning and
its potential benefits
44
[CONFIDENTIAL]
Replicating Physiological Cardiovascular
Effects of Physical Exercise
Video
Ischemic Conditioning Therapy - A New Path for Treatment of Endothelial Dysfunction and CVD
Ischemic Conditioning Therapy - A New Path for Treatment of Endothelial Dysfunction and CVD
Ischemic Conditioning Therapy - A New Path for Treatment of Endothelial Dysfunction and CVD

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Ischemic Conditioning Therapy - A New Path for Treatment of Endothelial Dysfunction and CVD

  • 1. Ischemic Conditioning Therapy: A New Path for Treatment of Endothelial Dysfunction and CVD Thursday, December 8, 2016, 2PM PST Co-Presenter: Morteza Naghavi, M.D. Chairman of Scientific Advisory Board
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  • 13. VENDYS® Vascular Function Monitoring Fingertip Temperature Sensors on Both Index Fingers Blood Pressure “Occluding” Cuff on Right Upper Arm
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  • 16. 40 min occlusion plus 4 hours reperfusion in anesthetized rabbit; Left = control; Right = preconditioned with two 5 min occlusions plus 5 min reperfusion before the long occlusion. Hale SL, Kloner RA Coronary Artery Disease 1992;3:133-140
  • 17. Michael Rahbek Schmidt, Steen Buus Kristiansen and Hans Erik Bøtker Circulation Research. 2013;113:1278-1280
  • 18. Philippe Kolh, M.D., Ph.D. Service de Cardiochirurgie, CHU Sart Tilman, B 35 Sart Tilman, Liege 4000, Belgium
  • 19. Exercise is a natural form of ischemic conditioning. In other words, ischemic conditioning is a medical form of exercise.
  • 20. Arterioscler Thromb Vasc Biol. 2007 Jun;27(6) Repetition of ischemic preconditioning augments endothelium-pendent vasodilation in humans: role of endothelium-derived nitric oxide and endothelial progenitor cells. Kimura M1, Ueda K, Goto C, Jitsuiki D, Nishioka K, Umemura T, Noma K, Yoshizumi M, Chayama K, Higashi Y. Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Mimami-ku, Hiroshima 734-8551, Japan.
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  • 23. Figure 1. Comparison of forearm blood flow (FBF) responses to acetylcholine (ACh) at 0 weeks and 4 weeks of follow-up in the control group (A) and in the ischemic preconditioning untrained (contralateral) arm group (B) and ischemic preconditioning arm group (C). Masashi Kimura et al. Arterioscler Thromb Vasc Biol. 2007;27:1403-1410
  • 24. Figure 4. Measurement of the number of endothelial progenitor cells by flow cytometry at 0 weeks and 4 weeks of ischemic preconditioning stimuli (top). Masashi Kimura et al. Arterioscler Thromb Vasc Biol. 2007;27:1403-1410
  • 25. Figure 5. Correlation between maximal forearm blood flow (FBF) response to acetylcholine (ACh) and number of endothelial progenitor cells at 0 weeks and 4 weeks of ischemic preconditioning stimuli. Masashi Kimura et al. Arterioscler Thromb Vasc Biol. 2007;27:1403-1410
  • 26. Atherosclerosis. 2011 Dec;219(2):750-2. doi: 10.1016/j.atherosclerosis.2011.08.046. Epub 2011 Sep 7. Effect of local and remote isc hemic preconditioning on endothelial function in young people and healthy or hypertensive elderly people. Moro L, Pedone C, Mondì A, Nunziata E, Antonelli Incalzi R. Area di Geriatria, Università Campus Biomedico, Roma, Italy.
  • 27. Moro L, Pedone C, Mondì A, Nunziata E, Antonelli Incalzi R.
  • 28. [CONFIDENTIAL] Moro L, Pedone C, Mondì A, Nunziata E, Antonelli Incalzi R.
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  • 37. "We emphasize the critical need to take into account the presence of cardiovascular risk factors and concomitant medications when designing preclinical studies for the identification and validation of cardioprotective drug targets and clinical studies. This will hopefully maximize the success rate of developing rational approaches to effective cardioprotective therapies for the majority of patients with multiple risk factors."
  • 38. The challenge of translating ischemic conditioning from animal models to humans: the role of comorbidities Kieran McCafferty,§, Suzanne Forbes*, Christoph Thiemermann and Muhammad M. Yaqoob Disease Models & Mechanisms (2014) 7, 1321-1333
  • 39. The rate of tissue deoxygenation differs between individuals. Near-infrared Spectroscopy (NIRS)
  • 40. The rate of tissue deoxygenation differs between individuals.
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  • 44. Over 4000 articles published since 1986 on Ischemic Conditioning and its potential benefits 44
  • 47. Video

Editor's Notes

  1. Figure 1. Comparison of forearm blood flow (FBF) responses to acetylcholine (ACh) at 0 weeks and 4 weeks of follow-up in the control group (A) and in the ischemic preconditioning untrained (contralateral) arm group (B) and ischemic preconditioning arm group (C).
  2. Figure 4. Measurement of the number of endothelial progenitor cells by flow cytometry at 0 weeks and 4 weeks of ischemic preconditioning stimuli (top). Comparison of the number of endothelial progenitor cells at 0 weeks and 4 weeks of follow-up in the control group and in the ischemic preconditioning untrained (contralateral) arm group and ischemic preconditioning arm group. *P<0.05 vs 0 weeks in the preconditioning group.
  3. Figure 5. Correlation between maximal forearm blood flow (FBF) response to acetylcholine (ACh) and number of endothelial progenitor cells at 0 weeks and 4 weeks of ischemic preconditioning stimuli.