Stem cell surgery could repair damage left by heart attack

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Heart attack victims are to be injected with their own stem cells in the hope of repairing the damage, it emerged Thursday.

Doctors believe the technique, a world first, could prevent patients suffering a second attack or developing potentially deadly heart failure.

It involves stem cells being taken from a patient’s bone marrow and injected directly into damaged heart muscle.

A three-year trial of the procedure will start in Bristol, UK, in August.

“If this works, then it will be a new treatment that could be used for many, many heart patients,” said Dr Raimondo Ascione, who is leading the study at Bristol University.

A heart attack takes place when a vessel feeding blood to the heart is blocked, starving the organ of oxygen. During the attack, heart cells die, leaving areas of scarred tissue which are less effective at pumping blood.

If the tissue is badly damaged, heart attack victims go on to develop heart failure, a condition that can leave them breathless and immobile.

Doctors can improve the flow of blood around the heart with an angioplasty – the reopening of a blocked artery – or a coronary bypass.

But while these techniques can dramatically improve quality of life, they cannot restore a damaged heart.

The researchers are to test the technique on 60 patients recovering from heart attacks. They will be injected with their bone marrow stem cells in a routine coronary bypass operation between ten days and three months after their attack.

Stem cells are the body’s ‘parent cells’, capable of turning into different types of tissue. Under the right conditions, stem cells from bone marrow will turn into healthy heart tissue.

Six months later, a MRI scan will reveal if the stem cells have restored the heart.

“Current treatments aim to keep the patient alive with a heart that is working less efficiently than before the heart attack,” says Dr Ascione. “This stem cell therapy aims to repair the damaged heart as it has the potential to replace the damaged tissue.”

The timing of the injections is crucial, he believes. If stem cells are given too soon, the heart’s natural healing process will not have started properly. Given too late, scar tissue could already have formed in the heart.
 
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