Comprehensive Cardiac Care After Cardiac Arrest

被引：10

作者：

Burstein, Barry ^{[1
]}

Jentzer, Jacob C. ^{[1
,2
]}

机构：

[1] Mayo Clin, Div Pulm & Crit Care Med, Dept Internal Med, 200 First St Southwest, Rochester, MN 55905 USA

[2] Mayo Clin, Dept Cardiovasc Med, 200 First St Southwest, Rochester, MN 55905 USA

来源：

CRITICAL CARE CLINICS | 2020年 / 36卷 / 04期

关键词：

Cardiac arrest; Sudden cardiac death; Resuscitation; Targeted temperature management; Post-cardiac arrest syndrome; Postarrest myocardial dysfunction; TARGETED TEMPERATURE MANAGEMENT; ST-SEGMENT-ELEVATION; EUROPEAN RESUSCITATION COUNCIL; ACUTE MYOCARDIAL-INFARCTION; AMERICAN-HEART-ASSOCIATION; CARDIOGENIC-SHOCK; CARDIOPULMONARY-RESUSCITATION; SPONTANEOUS CIRCULATION; BLOOD-PRESSURE; POST HOC;

D O I：

10.1016/j.ccc.2020.07.007

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cardiac arrest (CA) results in multiorgan ischemia until return of spontaneous circulation and often is followed by a low-flow shock state. Upon restoration of circulation and organ perfusion, resuscitative teams must act quickly to achieve clinical stability while simultaneously addressing the underlying etiology of the initial event. Optimal cardiovascular care demands focused management of the post–cardiac arrest syndrome and associated shock. Acute coronary syndrome should be considered and managed in a timely manner, because early revascularization improves patient outcomes and may suppress refractory arrhythmias. This review outlines the diagnostic and therapeutic considerations that define optimal cardiovascular care after CA. © 2020 Elsevier Inc.

引用

页码：771 / 786

页数：16

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