<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202019000200146</article-id>
<article-id pub-id-type="doi">10.29277/cardio.34.2.12</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Angioplastia primaria en el infarto agudo de miocardio: ¿es beneficioso el condicionamiento isquémico remoto?]]></article-title>
<article-title xml:lang="en"><![CDATA[Primary angioplasty in acute myocardial infarction: is remote ischemic conditioning beneficial?]]></article-title>
<article-title xml:lang="pt"><![CDATA[Angioplastia primária no infarto agudo do miocárdio: o condicionamento isquêmico remoto é benéfico?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espiñeira]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manfrini]]></surname>
<given-names><![CDATA[Luciana Jubany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espiñeira]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital y Cooperativa Médica  ]]></institution>
<addr-line><![CDATA[Rivera ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af1">
<institution><![CDATA[,Hospital y Cooperativa Médica  ]]></institution>
<addr-line><![CDATA[Rivera ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cirugía Cardíaca  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>146</fpage>
<lpage>166</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202019000200146&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202019000200146&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202019000200146&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El paradigma de la reapertura precoz de la arteria ocluida ha representado un hito en el tratamiento del infarto agudo de miocardio y su aplicación universal en la práctica cardiológica se tradujo en una reducción significativa de la magnitud del daño miocárdico y de la mortalidad por esta causa. Sin embargo, la oclusión coronaria aguda continúa siendo una causa prevalente de muerte y discapacidad de origen cardíaco, por lo cual persiste la búsqueda de nuevos procedimientos, fármacos o estrategias que contribuyan a una mayor preservación del tejido miocárdico en este contexto. El precondicionamiento isquémico cardíaco, en sus diferentes modalidades, a pesar de haber sido objeto de diversos estudios tanto a nivel clínico como experimental, no forma parte de la práctica habitual en los laboratorios de cateterismo cardíaco, servicios de cardiología crítica o unidades de emergencia móvil donde se lleva a cabo la reperfusión miocárdica. En esta controversia, los autores presentan argumentos a favor y en contra de la utilización del precondicionamiento isquémico remoto como adjunto a la angioplastia primaria en un escenario clínico concreto, brindando al lector el estado de la evidencia sobre un procedimiento cuyo margen de utilidad aguarda aún una clara definición.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: Early reopening of the occluded artery paradigm has represented a milestone in the treatment of acute myocardial infarction, and its universal application in cardiological practice lead to a significant reduction in the extension of myocardial injury and mortality from this cause. However, acute coronary occlusion is still a prevalent cause of death and disability; therefore, a lively interest in identificating new procedures, drugs or strategies that contribute to a greater preservation of myocardial tissue persists in this context. Cardiac ischemic preconditioning in its various forms, despite having been object of several studies, both at clinical and experimental levels, is not part of the usual practice of catheterization laboratories, critical cardiology services or mobile emergency units, where myocardial reperfusion is carried out. In this controversy, the authors present arguments for and against the use of remote cardiac ischemic preconditioning as an adjunct to primary angioplasty in a particular clinical stage, providing the reader the status of evidence about a procedure whose profit margin still awaits a clear definition.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O paradigma da reabertura precoce da artéria ocluída representou um marco histórico no tratamento do infarto agudo do miocárdio, e sua aplicação universal na prática cardiológica resultou em uma redução significativa da extensão da lesão miocárdica e da mortalidade por essa causa. No entanto, a oclusão coronariana aguda continua sendo uma causa prevalente de morte e incapacidade de origem cardíaca, persistindo, portanto, a busca de novos métodos, drogas ou estratégias que contribuam para uma maior preservação do tecido miocárdico nesse contexto. Pré-condicionamento cardíaco isquêmico, em suas diversas modalidades, que apesar de ter sido objeto de vários estudos, tanto clínicos como experimentais, não faz parte da prática usual no laboratório de cateterismo cardíaco, nos serviços de cardiologia crítica ou nas unidades móveis de emergência, onde a reperfusão miocárdica é realizada. Nesta controvérsia, os autores apresentam argumentos a favor e contra o uso do pré-condicionamento isquêmico remoto como adjuvante da angioplastia primária em um ambiente clínico específico, proporcionando ao leitor com o estado da evidência em um procedimento cuja margem de utilidade ainda aguarda uma definição clara.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto del miocardio con elevación del ST]]></kwd>
<kwd lng="es"><![CDATA[Reperfusión miocárdica]]></kwd>
<kwd lng="es"><![CDATA[Daño por reperfusión]]></kwd>
<kwd lng="es"><![CDATA[Condicionamiento isquémico remoto]]></kwd>
<kwd lng="en"><![CDATA[ST elevation myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[Myocardial reperfusion]]></kwd>
<kwd lng="en"><![CDATA[Reperfusion injury]]></kwd>
<kwd lng="en"><![CDATA[Remote ischemic conditioning]]></kwd>
<kwd lng="pt"><![CDATA[Infarto do miocárdio con supradesnível do segmento ST]]></kwd>
<kwd lng="pt"><![CDATA[Reperfusâo miocárdica]]></kwd>
<kwd lng="pt"><![CDATA[Traumatismo por reperfusâo]]></kwd>
<kwd lng="pt"><![CDATA[Condicionamento isquêmico remoto]]></kwd>
</kwd-group>
</article-meta>
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