• Curr. Pharm. Des. · Jan 2011

    Review

    The potential role of erythropoietin as a pleiotropic agent in post-cardiac arrest syndrome.

    • Theodoros Xanthos, Panagiotis V S Vasileiou, Sotirios Kakavas, Aggeliki Syggelou, and Nicoletta Iacovidou.
    • Department of Anatomy, University of Athens, Medical School, Athens, Greece. theodorosxanthos@yahoo.com
    • Curr. Pharm. Des. 2011 Jan 1;17(15):1517-29.

    AbstractSudden cardiac arrest is a leading cause of death worldwide with survival rates still remaining suboptimal. Unfortunately, most cardiac arrest patients, who achieve return of spontaneous circulation (ROSC), develop a multi-faceted post-cardiac arrest syndrome, including post-cardiac arrest brain injury, myocardial dysfunction, and systemic ischemia/reperfusion response. Erythropoietin (EPO), the principal hematopoietic hormone regulating erythropoiesis, exhibits diverse cellular effects in nonhematopoietic tissues. Due to its anti-apoptotic, anti-inflammatory, and anti-oxidant properties, as well as its angiogenic action, EPO plays a role in neuroprotection and cardioprotection. In this regard, EPO represents a promising agent in the cardiac arrest setting, based on a therapeutic strategy that focuses on the post-resuscitation phase. This review aims to provide a comprehensive account of EPO's role in the treatment of each individual component of post-cardiac arrest syndrome.

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