Document Detail


Current treatment of patients surviving out-of-hospital cardiac arrest.
MedLine Citation:
PMID:  1899276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most out-of-hospital cardiac arrests result from the sudden onset of a sustained ventricular arrhythmia in the absence of a new myocardial infarction. Individuals who survive cardiac arrest are at high risk for recurrent arrhythmias and sudden unexpected death. To prevent recurrent cardiac arrest, effective treatment must be provided during hospitalization after the initial episode. Caring for the survivor of cardiac arrest requires a detailed clinical investigation to define the underlying cardiac anatomy and left ventricular function and to elucidate the mechanism and characteristics of the patient's arrhythmia. Appropriate antiarrhythmic therapy, such as drugs or a nonpharmacological intervention (eg, implantable cardioverter-defibrillator), is then selected based on these considerations. In addition, ischemia is treated aggressively with beta-adrenergic blocking agents and, when appropriate, with surgical coronary artery revascularization.
Authors:
R Brooks; B A McGovern; H Garan; J N Ruskin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  265     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-03-01     Completed Date:  1991-03-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  762-8     Citation Subset:  AIM; IM    
Affiliation:
Cardiac Unit, Massachusetts General Hospital, Boston 02114.
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / diagnosis,  drug therapy*,  physiopathology
Death, Sudden
Electric Countershock
Electrophysiology
Heart Arrest / mortality,  therapy*
Humans
Long-Term Care
Resuscitation
Ventricular Function, Left

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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