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Response after cardiopulmonary resuscitation Kentaro EJIRI 1 1Department of Caldiovascular Medicine Okayama University Hospital pp.71-82
Published Date 2021/1/1
DOI https://doi.org/10.11477/mf.3102200834
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For the past 2 decades, a therapeutic algorithm for out-hospital cardiac arrest (OHCA) patients was improved because of standardization of life support and intensive care for OHCA. No sufficient outcome, however, was obtained for survival with favorable neurologic outcomes in OHCA patients by the improvement. The incidence of OHCA is gradually increasing and the estimate of the annual incidence of non-traumatic OHCA in 2018 in Japan was 100,000 patients. Acute coronary syndrome is the leading cause of non-traumatic OHCA and the differential diagnosis and therapeutic strategies play an important role in post-resuscitation care. Current clinical trials brought new evidence, especially in the timing of coronary angiography after resuscitation and revascularization strategy in post cardiac arrest patients with multivessel disease. In some patients, mechanical circulatory support is required to maintain hemodynamics post cardiac arrest until recovery. Additionally, targeted temperature management is recommended to improve neurologic outcomes in post cardiac arrest patients, although there are some controversies. This paper aims to describe the current management, knowledge gaps and future perspectives of post cardiac arrest care based on high-quality evidence which published in the past 5 years.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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