Author + information
- Received July 26, 2011
- Revision received January 11, 2012
- Accepted January 20, 2012
- Published online June 1, 2012.
- Karl B. Kern, MD⁎ ()
- ↵⁎Reprint requests and correspondence:
Dr. Karl B. Kern, Section of Cardiology, University of Arizona, Sarver Heart Center, 1501 North Campbell Avenue, Tucson, Arizona 85724
Interest in post-resuscitation care has risen with the development of treatment modalities that can affect long-term survival rates even when begun after the systematic ischemia/reperfusion insult associated with cardiac arrest. Mild therapeutic hypothermia has become the foundation for improvement of neurologically favorable survival after cardiac arrest. Reperfusion therapy, specifically early percutaneous coronary intervention, is becoming an important adjunct to therapeutic hypothermia. Identifying which post–cardiac arrest patient had an occluded or unstable coronary vessel is difficult because such events are not reliably predicted by precedent symptoms or standard electrocardiographic analysis. Increasing clinical experience suggests that resuscitated cardiac arrest victims without an obvious noncardiac etiology should undergo emergency coronary angiography and, where indicated, percutaneous coronary intervention. If comatose, they should receive concurrent therapeutic hypothermia. Such an approach can double long-term survival rates among those successfully resuscitated after out-of-hospital cardiac arrest.
Dr. Kern serves as a consulting scientific advisory board member for Zoll Medical and Medtronic/Physio-Control corporations; and has received an unrestricted research grant from the Laerdal Foundation within the last several years.
- Received July 26, 2011.
- Revision received January 11, 2012.
- Accepted January 20, 2012.
- American College of Cardiology Foundation
- Post-Resuscitation Care That Improves Outcome
- Who Should Have Emergent Coronary Angiography After Resuscitation From Cardiac Arrest?
- When Should Post-Resuscitation Coronary Angiography Be Performed?
- Optimal Post-Resuscitation Care Combines MTH With Coronary Angiography and PCI
- University of Arizona, Sarver Heart Center Approach to the Post-Resuscitation Patient