Cardioprotection Is a Delivery Problem: A First-Medical-Contact Framework for Acute Myocardial Infarction

Abstract Dozens of agents that limit reperfusion injury preclinically have failed clinically. These failures are architectural, not biological: the right biology reaches the wrong place, as the wrong molecule, at the wrong time, judged by the wrong end point. We recast each as a design constraint and specify a staged regimen anchored at first medical contact.

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Publication Details

Journal
ACS Pharmacology & Translational Science
Published
2026-09-17
DOI
https://doi.org/10.1021/acsptsci.6c00552
Primary Topic
Cardiac Ischemia and Reperfusion
Type
article
Field-Weighted Citation Impact
0.00

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article

Cardioprotection Is a Delivery Problem: A First-Medical-Contact Framework for Acute Myocardial Infarction

Vibhudutta Awasthi, Kenichi A. Tanaka, Tarun W. Dasari
ACS Pharmacology & Translational Science
Cardiac Ischemia and Reperfusion
article

Cardioprotection Is a Delivery Problem: A First-Medical-Contact Framework for Acute Myocardial Infarction

Vibhudutta Awasthi, Kenichi A. Tanaka, Tarun W. Dasari
article en

Abstract

Abstract Dozens of agents that limit reperfusion injury preclinically have failed clinically. These failures are architectural, not biological: the right biology reaches the wrong place, as the wrong molecule, at the wrong time, judged by the wrong end point. We recast each as a design constraint and specify a staged regimen anchored at first medical contact.

ACS Pharmacology & Translational Science
University of Oklahoma Health Sciences Center (US), University of Oklahoma (US)
National Institutes of Health
Good health and well-being
Openalex Percentile: Top 11%
Cardiac Ischemia and Reperfusion
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