Post resuscitation care: what are the therapeutic alternatives and what do we know?

Abstract:

:A large proportion of deaths in the Western World are caused by ischaemic heart disease. Among these patients a majority die outside hospital due to sudden cardiac death. The prognosis among these patients is in general, poor. However, a significant proportion are admitted to a hospital ward alive. The proportion of patients who survive the hospital phase of an out of hospital cardiac arrest varies considerably. Several treatment strategies are applicable during the post resuscitation care phase, but the level of evidence is weak for most of them. Four treatments are recommended for selected patients based on relatively good clinical evidence: therapeutic hypothermia, beta-blockers, coronary artery bypass grafting, and an implantable cardioverter defibrillator. The patient's cerebral function might influence implementation of the latter two alternatives. There is some evidence for revascularisation treatment in patients with suspected myocardial infarction. On pathophysiological grounds, an early coronary angiogram is a reasonable alternative. Further randomised clinical trials of other post resuscitation therapies are essential.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Herlitz J,Castren M,Friberg H,Nolan J,Skrifvars M,Sunde K,Steen PA

doi

10.1016/j.resuscitation.2005.08.006

keywords:

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

15-22

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(05)00336-9

journal_volume

69

pub_type

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