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Current Treatment Options in Cardiovascular Medicine
Erschienen in: Current Treatment Options in Cardiovascular Medicine 6/2021

10.05.2021 | COVID-19 | Coronary Artery Disease (D Feldman and V Voudris, Section Editors) Zur Zeit gratis

Evidence-Based Approach to Out-of-Hospital Cardiac Arrest

verfasst von: Mohammad Amin Kashef, MD, MPH, Amir S Lotfi, MD

Erschienen in: Current Treatment Options in Cardiovascular Medicine | Ausgabe 6/2021

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Abstract

Purpose of review

Out-of-hospital cardiac arrest (OHCA) is a leading cause of death. Despite improvements in the cardiac disease management, OHCA outcomes remain poor. The purpose of this review is to provide information on the management of OHCA survivors, evidence-based treatments, and current gaps in the knowledge.

Recent findings

Most common cause of death from OHCA is neurological injury followed by shock and multiorgan failure. Prognostication tools are available to help with the clinical decision-making. Taking measures to improve EMS response time, encouraging bystander CPR, early defibrillation, and targeted temperature management are shown to improve survival. Early activation of cardiac catheterization lab for coronary angiography, hemodynamic assessment, and mechanical circulatory support should be considered in patients with shockable rhythm and presumed cardiac cause, those with ST elevation, ongoing ischemia, or evidence of hemodynamic and electrical instability. Randomized controlled trials are lacking in this field and benefits of interventions should be weighed against risk of pursuing a futile treatment. COVID-19 pandemic has added new challenges to the care of OHCA patients.

Summary

Clinical decision-making to care for OHCA patients is challenging. There is a need for trials to provide evidence-based knowledge on the care of OHCA patients.
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Metadaten
Titel
Evidence-Based Approach to Out-of-Hospital Cardiac Arrest
verfasst von
Mohammad Amin Kashef, MD, MPH
Amir S Lotfi, MD
Publikationsdatum
10.05.2021
Verlag
Springer US
Schlagwort
COVID-19
Erschienen in
Current Treatment Options in Cardiovascular Medicine / Ausgabe 6/2021
Print ISSN: 1092-8464
Elektronische ISSN: 1534-3189
DOI
https://doi.org/10.1007/s11936-021-00924-3

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