Reunion Anual Madeira 2015 Clinical and Experimental Research. PoteSimultaneous ntial in...

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Vicente Bodí Department of Cardiology, Hospital Clínico Universitaro University of Valencia Group on Translational Research in Ischemic Heart Disease, Incliva, Valencia, Spain Simultaneous Clinical and Experimental Research. Potential in Pathophysiology, Diagnosis and Therapy

Transcript of Reunion Anual Madeira 2015 Clinical and Experimental Research. PoteSimultaneous ntial in...

Vicente BodíDepartment of Cardiology, Hospital Clínico UniversitaroUniversity of ValenciaGroup on Translational Research in Ischemic Heart Disease, Incliva, Valencia, Spain

Simultaneous Clinical and Experimental Research. Potential in Pathophysiology, Diagnosis and Therapy

No conflicts of interest to disclose

Vicente BodíDepartment of Cardiology, Hospital Clínico UniversitaroUniversity of ValenciaGroup on Translational Research in Ischemic Heart Disease, Incliva, Valencia, Spain

Experimental Research

Experimental model of infarction

Pathophysiology

Therapy

Diagnosis

Experimental model of infarction

Pathophysiology

Therapy

Diagnosis

Swine model of infarction

Hervás, Rev Esp Cardiol 2015 (en prensa)

Swine model of infarction

Swine model of infarction

Experimental model of infarction

Pathophysiology

Therapy

Diagnosis

Microvascular obstruction

Bodí, J Am Coll Cardiol 2005

Bodí, JACC imaging 2009

806040200

1.0

0.9

0.8

0.7

0.6

OMV

No OMV

Su

pe

rviv

en

cia

sin

MA

CE

Semanas

Microvascular obstruction

Reperfusion injury. Proof of concept

NO REPERFUSION 1’ REPERFUSION

Hervás, Rev Esp Cardiol 2015 (en prensa)

Hervás, Rev Esp Cardiol 2015 (en prensa)

Dynamics of microvascular obstruction

Bonanad, Thromb Res 2013

The right ventricle in anterior infarctions

Experimental model of infarction

Pathophysiology

Therapy

Diagnosis

Tam

año

del

in

fart

o (

%)

70

60

50

40

30

20

10

5

0

Isquemia miocárdica en ausencia de reperfusión

Isquemia miocárdica con reperfusión

Isquemia miocárdica con reperfusión y cardioprotección

Reperfusion therapy and reperfusion injury

POSTCONDICIONAMIENTO

Zhao, Am J Physiol Heart Circ Physiol 2003

Advances in therapy

Bodi, Int J Cardiol 2014

Advances in therapy

Experimental model of infarction

Pathophysiology

Therapy

Diagnosis

Diagnosis of myocardial ischemia

Bodí V. J Am Coll Cardiol 2007

Experimental research

Clinical research

Clinical validation

Routine practice

Diagnosis of myocardial ischemia

Bodí V. J Am Coll Cardiol 2012

Conocimiento procedente del

laboratorio

Ciencia y conocimiento clínico

Práctica clínica y adopción de decisiones

Primer valle

Investigación traslacional

Segundo valle

Investigación traslacional

Bodi, J Cardiovasc Trans Res 2014

And now what?

Arantxa Hervás (Biotecnóloga)Elena de Dios (Bióloga)Clara Bonanad (Cardióloga)Gema Miñana (Cardióloga)Ana Díaz (Veterinaria)Inmaculada Noguera (Veterinaria)José Gavara (Bioingeniero)Nerea Pérez (Enfermera)Isabel Selfa (Enfermera)

Cristina Gómez (Enfermera)Fabian Chaustre (Bioingeniero)María J. Forteza (Bióloga)Oliver Husser (Cardiólogo)

GRACIAS!Department of Cardiology, Hospital Clínico Universitaro, University of Valencia, Incliva, Valencia, Spain