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EDITORIAL |
Editorial I: The new age of medical genomics
Departments of Anesthesiology, Pharmacology/Cancer Biology, and Surgery, Duke University Medical Center, Durham, NC 27710, USA
* E-mail: Schwi001@mc.duke.edu
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"I would have everie man write what he knowes and no more."Montaigne
Genomic tools have enhanced research across all of medicine, including anaesthesia. Our understanding of both acute responses of the heart (such as myocardial preconditioning, ischaemiareperfusion, stunning and infarction), as well as the onset and development of chronic heart disease, is undergoing a paradigm shift as functional genomic and proteomic research is providing further insights into the complex dynamic regulation of myocardial gene interactions and pathways. In this issue of the British Journal of Anaesthesia, Lucchinetti and colleagues1 demonstrate the use of genome-based technologies to discover mechanisms underlying important clinical questions such as how best to protect the heart in settings of ischaemia. One protective strategy is ischaemic preconditioning, defined as a brief period of controlled ischaemia followed by reperfusion prior to a longer period of
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