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ischaemia imbalance between energy supply and demand. Buckberg GDJ Thorac Cardiovasc Surg 1991;102:895-903. hypoxia reduction in oxygen supply and accumulation of the waste products of metabolism. Pepper J. Myocardial Protection (57-79)Edited by Pillai R, Wright J. Surgery for Ischaemic Heart Disease1999, Oxford University Press.

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