Review article
Establishing Coronary Patency: A Key to Optimal Post Resuscitation Care
Karl B. Kern
; 1501 N. Campbell Ave., Tucson, Arizona 85724, USA
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 carding6
Hrčak ID:
59439
URI
Publication date:
1.9.2010.
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