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Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient.

Abstract：

:Patients who are comatose after cardiac arrest continue to be a challenge, with high mortality. Although there is an American College of Cardiology Foundation/American Heart Association Class I recommendation for performing immediate angiography and percutaneous coronary intervention (when indicated) in patients with ST-segment elevation myocardial infarction, no guidelines exist for patients without ST-segment elevation. Early introduction of mild therapeutic hypothermia is an established treatment goal. However, there are no established guidelines for risk stratification of patients for cardiac catheterization and possible percutaneous coronary intervention, particularly in patients who have unfavorable clinical features in whom procedures may be futile and affect public reporting of mortality. An algorithm is presented to improve the risk stratification of these severely ill patients with an emphasis on consultation and evaluation of patients prior to activation of the cardiac catheterization laboratory.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Rab T,Kern KB,Tamis-Holland JE,Henry TD,McDaniel M,Dickert NW,Cigarroa JE,Keadey M,Ramee S,Interventional Council, American College of Cardiology.

doi

10.1016/j.jacc.2015.05.009

subject

Has Abstract

pub_date

2015-07-07 00:00:00

pages

62-73

issue

1

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(15)02276-7

journal_volume

66

pub_type

杂志文章,评审

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