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Establishing Coronary Patency: A Key to Optimal Post Resuscitation Care

  • KARL B. KERN1

1Tucson, Arizona

DOI: 10.22514/SV51.092010.12 Vol.5,Issue S1,September 2010 pp.55-59

Published: 07 September 2010

*Corresponding Author(s): KARL B. KERN E-mail: kernk@email.arizona.edu

Abstract

The formalizing post resuscitation care to include therapeutic hypothermia and cardiac angiography with percutaneous coronary intervention when needed could significantly improve survival following cardiac arrest. Any sudden death patient suspected to have a cardiac origin for their cardiac arrest should be considered for early catheterization and subsequent percutaneous coronary intervention (PCI) if a culprit lesion can be identified. Successful PCI improves survival to hospital discharge and cerebral performance category in patients with or without ST elevation. Current ‘report carding’ methodology needs to be changed regarding those resuscitated from cardiac arrest (patients with cardiac arrest not including them in any statistical reporting on PCI mortality report cards).

Keywords

percutaneous coronary intervention, hypothermia, cardiac arrest, survival to hospital discharge, cerebral performance category, PCI report carding

Cite and Share

KARL B. KERN. Establishing Coronary Patency: A Key to Optimal Post Resuscitation Care. Signa Vitae. 2010. 5(S1);55-59.

References

1. Kellum MJ, Kennedy KW, Ewy GA. Cardiocerebral resuscitation improves survival of patients with out-of-hospital cardiac arrest. Am J Med 2006;119;335-40.

2. Bobrow BJ, Clark LL, Ewy GA, Chicani V, Sanders AB, Berg RA, et al. Minimally interrupted cardiac resuscitation by emergency medical services providers for out-of-hospital cardiac arrest. JAMA 2008;229:1158-65.

3. Kellum MJ, Kennedy KW, Barney R, Keilhauer FA,Bellino M, Zuercher M, et al. Cardiocerebral resuscitation improves neurologically intact survival of patients with out-of-hospital cardiac arrest. Ann Emeg Med 2008;52:244-52.

4. Garza AG, Gratton MC, Salomone JA, Lindhom D, McElroy J, Archer R. Improved patient survival using a modified resuscitation protocol for out-of-hospital cardiac arrest. Circulation 2009;119:2597-605.

5. Sunde K, Pytte M, Jacobsen D, Mangschau A, Jensen LP, Smedsrud C, Draegni T, Steen PA. Implementation of a standardized treatment protocol for post resuscitation care after out-of-hospital cardiac arrest. Resuscitation 2007;73:29-39.

6. Neumar RW, Nolan JP, Adrie C, Aibiki M, Berg RA, Böttiger BW, et al. Post Cardiac Arrest Syndrome: Epidemiology, Pathophysiology, Treatment, and Prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Asso-ciation, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of South Africa): the American Heart Associ-ation Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council of Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council. Circulation 2008;118:2452-83.

7. Spaulding CM, Joly L-M, Rosenberg A, Monchi M, Weber SN, Dhainaut J-FA, Carli P. Immediate coronary angiography in survivors of out-of-hospital cardiac arrest. N Engl J Med 1997;336:1629-33.

8. Dumas F, Cariou A, Manzo-Silberman S, Grimaldi D, Vivien B, Rosencher J, et al. Immediate percutaneous coronary intervention is asso-ciated with better survival after out-of-hospital cardiac arrest. Circ Cardiovasc Interv 2010;3:200-7.

9. GorjupV, Radsel P, Kocjancic ST, Ersen D, Noc M. Acute ST-elevation myocardial infarction after successful cardiopulmonary resuscitation. Resuscitation 2007;72:379-85.

10. Garot P, Lefevre T, Eltchaninoff H, Morice M-C, Tamion F, Abry B, et al. Six-month outcome of emergency percutaneous coronary interven-tion in resuscitated patients after cardiac arrest complicating ST-elevation myocardial infarction. Circulation 2007;115:1354-62.

11. Hosmane VR, Mustafa NG, Reddy VK, Rees CL, DiSabatino A, Kolm P, et al. Survival and neurologic recovery in patients with ST-Segment Elevation Myocardial Infarction resuscitated from cardiac arrest. J Am Coll Cardiol 2009;53:409-15.

12. Hovdenes J, Laake JH, Aaberge L, Haugaa H, Bugge JF. Therapeutic hypothermia after out-of-hospital cardiac arrest: experiences with patients treated with percutaneous coronary intervention and cardiogenic shock. Acta Anaesthesiol Scand 2007;51:137-42.

13. Knafelj R, Radsel P, Ploj T, Noc M. Primary percutaneous coronary intervention and mild induced hypothermia in comatose survivors of ventricular fibrillation with ST-elevation acute myocardial infarction. Resuscitation 2007;74:227-34.

14. Wolfrum S, Pierau C, Radke PW, Schundert H, Kurowski V. Mild therapeutic hypothermia in patients after out-of-hospital cardiac arrest due to acute ST-segment elevation myocardial infarction undergoing immediate percutaneous coronary intervention. Crit Care Med 2008;36:1780-6.

15. Peels HO, Jessurun GA, van der Horst IC, Arnold AE,Pers LH,Zijlstra F.  Outcome in transferred and nontransferred patients after primary percutaneous coronary intervention for ischemic out-of-hospital cardiac arrest. Catheter Cardiovasc Interv 2008;71:147-51.

16. Batista LM, Lima FO, Janussi JL, Donahue J, Snydeman C, Greer DM. Feasibility and safety of combined percutaneous coronary interven-tion and therapeutic hypothermia following cardiac arrest. Resuscitation. 2010;81:398-403.

17. Anyfantakis ZA, Baron G, Aubry P, Himbert D, Feldman LJ, Juliard JM, et al. Acute coronary angiographic findings in survivors of out-of-hospital cardiac arrest. Am Heart J 2009;157:312-8.

18. Kern KB, Rahman O. Emergent percutaneous coronary intervention for resuscitated victims of out-of-hospital cardiac arrest. Cathetr Cardiovasc Interv 2010;75:616-24.

19. Bangalore S, Hochman JS. A routine invasive strategy for out-of-hospital cardiac arrest survivors: Are we there yet? Circ Cardiovasc Interv 2010;3:197-9.

20. McMullan PW, White CJ. Doing what’s right for the resuscitated. Catheter Cardiovasc Interv 2010;76:161-3.

21. Anonymous. University HealthSystem Consortium (UHC) summary definitions. University HealthSystem Consortium .Online News, 2010 (cited 2010, July 25). Available: UHCreports@uhc.edu.

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