Prognostication after cardiac arrest

被引:32
作者
Horn, Janneke [1 ]
Cronberg, Tobias [2 ]
Taccone, Fabio S. [3 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Intens Care, NL-1105 AZ Amsterdam, Netherlands
[2] Lund Univ, Univ Lund Hosp, Sect Neurol, Dept Clin Sci, Lund, Sweden
[3] Univ Libre Bruxelles, Hop Erasme, Dept Intens Care, Brussels, Belgium
关键词
cardiac arrest; coronary angiogram; percutaneous coronary intervention; acute coronary syndrome; NEURON-SPECIFIC ENOLASE; ADULT COMATOSE SURVIVORS; THERAPEUTIC HYPOTHERMIA; STATUS EPILEPTICUS; EVOKED POTENTIALS; BRAIN-DAMAGE; PREDICTORS; RECOMMENDATIONS; RESUSCITATION; PROTEIN;
D O I
10.1097/MCC.0000000000000085
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of review Percutaneous coronary revascularization is the cornerstone treatment of acute coronary syndromes. Out-of-hospital cardiac arrest (OHCA) is in most cases related to a culprit coronary occlusion and should be treated as soon as possible. Recent findings To date, no biomarker has been evidenced to correctly predict culprit coronary occlusion in OHCA patients in order to select the best candidates for coronary angiography after OHCA. Moreover, successful percutaneous coronary intervention has been associated with better ICU and long-term survival in such patients. Although all these data are provided by retrospective studies, results can be considered strong enough to support systematic coronary angiography after OHCA. Taken together, these findings strongly suggest the necessity to systematically perform coronary angiography after no obvious noncardiac cause of OHCA. Systematic percutaneous coronary intervention after no obvious noncardiac cause of OHCA appears to be the most secure and the best adapted in these patients.
引用
收藏
页码:280 / 286
页数:7
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