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Post-Cardiac Arrest: Mechanisms, Management, and Future Perspectives

Abstract

Cardiac arrest is an important public health issue, with a survival rate of approximately 15 to 22%. A great proportion of these deaths occur after resuscitation due to post-cardiac arrest syndrome, which is characterized by the ischemia-reperfusion injury that affects the role body. Understanding physiopathology is mandatory to discover new treatment strategies and obtain better results. Besides improvements in cardiopulmonary resuscitation maneuvers, the great increase in survival rates observed in recent decades is due to new approaches to post-cardiac arrest care. In this review, we will discuss physiopathology, etiologies, and post-resuscitation care, emphasizing targeted temperature management, early coronary angiography, and rehabilitation.

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References
1.
Moulaert V, Verbunt J, Bakx W, Gorgels A, de Krom M, Heuts P . 'Stand still ... , and move on', a new early intervention service for cardiac arrest survivors and their caregivers: rationale and description of the intervention. Clin Rehabil. 2011; 25(10):867-79. PMC: 3255518. DOI: 10.1177/0269215511399937. View

2.
Hoekstra J, Rinnert K, Van Ligten P, Neumar R, Werman H, Brown C . The effectiveness of bystander CPR in an animal model. Ann Emerg Med. 1990; 19(8):881-6. DOI: 10.1016/s0196-0644(05)81561-6. View

3.
Hope A, Munro C . Understanding and Improving Critical Care Survivorship. Am J Crit Care. 2019; 28(6):410-412. DOI: 10.4037/ajcc2019442. View

4.
Sandroni C, DellAnna A, Tujjar O, Geri G, Cariou A, Taccone F . Acute kidney injury after cardiac arrest: a systematic review and meta-analysis of clinical studies. Minerva Anestesiol. 2016; 82(9):989-99. View

5.
Yannopoulos D, Bartos J, Raveendran G, Conterato M, Frascone R, Trembley A . Coronary Artery Disease in Patients With Out-of-Hospital Refractory Ventricular Fibrillation Cardiac Arrest. J Am Coll Cardiol. 2017; 70(9):1109-1117. DOI: 10.1016/j.jacc.2017.06.059. View