Ischemic cardiomyopathy, a leading cause of heart failure globally, arises from the irreversible damage inflicted upon cardiac tissue following myocardial infarction. The limited regenerative capacity of the adult human heart necessitates the exploration of novel therapeutic strategies to restore cardiac function and improve outcomes. Induced pluripotent stem cells (iPSCs), with their remarkable ability to differentiate into virtually any cell type in the body, have emerged as a beacon of hope for regenerative medicine, including the treatment of ischemic cardiomyopathy. This review delves into the pathophysiology of ischemic cardiomyopathy, highlighting the cellular and molecular mechanisms underlying cardiac dysfunction. We provide a comprehensive overview of the current state of iPSC technology, focusing on its potential applications in disease modeling, drug discovery, and cell-based therapies for cardiac regeneration. Furthermore, we discuss the challenges and opportunities associated with translating iPSC-based therapies to the clinic, emphasizing the need for rigorous preclinical studies and well-designed clinical trials to ensure safety and efficacy. Finally, we offer perspectives on the future directions of iPSC research in the context of ischemic cardiomyopathy, highlighting the transformative potential of this technology to revolutionize cardiovascular medicine and usher in an era of personalized regenerative therapies for patients with heart failure.
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