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Los diversos mecanismos deletreos activados durante las fases de isquemia y reperfusin en el IM incluyen la privacin de oxgeno, la disponibilidad reducida de nutrientes y factores de supervivencia, la acumulacin de residuos, la generacin de especies reactivas del oxgeno, la sobrecarga de calcio, la infiltracin por neutrfilos en el rea isqumica, la deplecin energtica, y la apertura del poro de transicin de permeabilidad mitocondrial, todos ellos mecanismos de activacin de apoptosis y necrosis en los cardiomiocitos

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