Cardiac Arrest

A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient

Tanveer Rab, Karl B. Kern, Jacqueline E. Tamis-Holland, Timothy D. Henry, Michael McDaniel, Neal W. Dickert, Joaquin Cigarroa, Matthew Keadey, Stephen Ramee

    Research output: Contribution to journalArticle

    67 Citations (Scopus)

    Abstract

    Patients who are comatose after cardiac arrest continue to be a challenge, with high mortality. Although there is an American College of Cardiology Foundation/American Heart Association Class I recommendation for performing immediate angiography and percutaneous coronary intervention (when indicated) in patients with ST-segment elevation myocardial infarction, no guidelines exist for patients without ST-segment elevation. Early introduction of mild therapeutic hypothermia is an established treatment goal. However, there are no established guidelines for risk stratification of patients for cardiac catheterization and possible percutaneous coronary intervention, particularly in patients who have unfavorable clinical features in whom procedures may be futile and affect public reporting of mortality. An algorithm is presented to improve the risk stratification of these severely ill patients with an emphasis on consultation and evaluation of patients prior to activation of the cardiac catheterization laboratory.

    Original languageEnglish (US)
    Pages (from-to)62-73
    Number of pages12
    JournalJournal of the American College of Cardiology
    Volume66
    Issue number1
    DOIs
    StatePublished - Jul 7 2015

    Fingerprint

    Coma
    Heart Arrest
    Percutaneous Coronary Intervention
    Cardiac Catheterization
    Therapeutics
    Guidelines
    Induced Hypothermia
    Mortality
    Angiography
    Referral and Consultation

    Keywords

    • cardiac catheterization
    • out-of-hospital cardiac arrest
    • percutaneous coronary intervention
    • risk stratification

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine
    • Medicine(all)

    Cite this

    Cardiac Arrest : A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient. / Rab, Tanveer; Kern, Karl B.; Tamis-Holland, Jacqueline E.; Henry, Timothy D.; McDaniel, Michael; Dickert, Neal W.; Cigarroa, Joaquin; Keadey, Matthew; Ramee, Stephen.

    In: Journal of the American College of Cardiology, Vol. 66, No. 1, 07.07.2015, p. 62-73.

    Research output: Contribution to journalArticle

    Rab, Tanveer ; Kern, Karl B. ; Tamis-Holland, Jacqueline E. ; Henry, Timothy D. ; McDaniel, Michael ; Dickert, Neal W. ; Cigarroa, Joaquin ; Keadey, Matthew ; Ramee, Stephen. / Cardiac Arrest : A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient. In: Journal of the American College of Cardiology. 2015 ; Vol. 66, No. 1. pp. 62-73.
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