comparative approaches to cardiovascular medicine
All heart attacks and 87% of strokes involve ischemic events in which cardiac and brain tissues are damaged because blood flow is limited or prevented, resulting in oxygen deprivation. Unfortunately, human cardiac muscle cells and central nervous tissue can only survive for a few minutes of oxygen deprivation before irreversible injury accumulates, either during the ischemic period, or afterwards, when the tissue is reperfused with blood and oxygen.
Evolution has produced huge variation in animal responses to oxygen deprivation, both within human populations and across different species. For example, babies and children can tolerate longer periods of oxygen deprivation without injury than can adults [2], while a host of fish, frog, and turtle species can tolerate minutes — even hours — of oxygen deprivation without obvious injury to their brain or heart [3].
2 Gidday, J.M. (2006). Cerebral preconditioning and ischaemic tolerance. Nat Rev Neurosci 7(6): p. 437-48.
3 Bickler, P.E. & Buck, L.T. (2007). Hypoxia tolerance in reptiles, amphibians, and fishes: life with variable oxygen availability. Annual review of physiology 69: p. 145-70.