| Post resuscitation care: what are the therapeutic alternatives and what do we know? | |
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MedLine Citation:
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PMID: 16488070 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A large proportion of deaths in the Western World are caused by ischaemic heart disease. Among these patients a majority die outside hospital due to sudden cardiac death. The prognosis among these patients is in general, poor. However, a significant proportion are admitted to a hospital ward alive. The proportion of patients who survive the hospital phase of an out of hospital cardiac arrest varies considerably. Several treatment strategies are applicable during the post resuscitation care phase, but the level of evidence is weak for most of them. Four treatments are recommended for selected patients based on relatively good clinical evidence: therapeutic hypothermia, beta-blockers, coronary artery bypass grafting, and an implantable cardioverter defibrillator. The patient's cerebral function might influence implementation of the latter two alternatives. There is some evidence for revascularisation treatment in patients with suspected myocardial infarction. On pathophysiological grounds, an early coronary angiogram is a reasonable alternative. Further randomised clinical trials of other post resuscitation therapies are essential. |
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Authors:
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J Herlitz; M Castren; H Friberg; J Nolan; M Skrifvars; K Sunde; P-A Steen |
Publication Detail:
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Type: Journal Article; Review Date: 2006-02-17 |
Journal Detail:
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Title: Resuscitation Volume: 69 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-04-03 Completed Date: 2006-11-28 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 15-22 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Sahlgrenska University Hospital, Göteborg, Sweden. johan.herlitz@hjl.gu.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Humans Intensive Care / methods* Resuscitation / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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