Mechanism

Reference

Type of study

Reduces myocardial metabolic demand and oxygen consumption

Miki et al. 1998 55, Schwartz et al. 2001 56, Dae et al. 2003 57, Maeng et al. 2003 58

Animal model

Preserves myocyte membrane function, intracellular calcium and pH hemostasis

Schwartz et al. 2001 56, Inoue et al 2003 28

Animal model

Decreases free radical and cytotoxin generation

Maeng et al. 2006 59

Animal model

Decreases infarct size

Otake et al. 2007 60

Animal model

Prevents microvascular obstruction and no-reflow phenomenon

Hale et al. 2003 61, Gotberg et al. 2008 62

Animal model

Inhibits mediators of inflammatory response and myocyte apoptosis

Dixon et al. 2005 50

Human

Reduces post-infarct reactive hyperemia

Olivecrona et al. 2007 29

Animal model

Maintains myocardial cell integrity and mitchondrial function

Ning et al. 1998 63, 2007 64

Animal model

Inhibits platelet aggregation

Frelinger et al. 2003 65

Human

Table 1: Cardioprotective mechanisms of therapeutic hypothermia.