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Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management

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Published on: November 21, 2017

Cardiac receiving centers: beyond hypothermia.

¹Sarver Heart Center, University of Arizona, Tucson, Arizona 85724, USA. kernk@e-mail.arizona.edu

Current Opinion in Critical Care

|February 16, 2012

Summary

Early coronary angiography and percutaneous coronary intervention are crucial Cardiac Receiving Center treatments. These interventions significantly improve long-term outcomes for cardiac arrest survivors, especially when the cause is a myocardial ischemic event.

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Area of Science:

Cardiology
Emergency Medicine
Critical Care

Background:

Cardiac arrest centers, now Cardiac Receiving Centers, are increasingly recognized for improving post-resuscitation outcomes.
The specific benefits of various treatments offered by these centers remain less clear.
This review focuses on early coronary angiography and percutaneous coronary intervention.

Purpose of the Study:

To examine the role and benefits of early coronary angiography and percutaneous coronary intervention in Cardiac Receiving Centers.
To determine the most effective treatments for improving outcomes after cardiac arrest.

Main Methods:

Review of cohort studies examining outcomes after cardiac arrest.
Analysis of the association between early coronary angiography and long-term patient results.
Evaluation of diagnostic criteria for identifying patients requiring emergent angiography.

Main Results:

Consistent findings show early coronary angiography improves long-term outcomes post-cardiac arrest.
Myocardial ischemic events are the most common cause of out-of-hospital cardiac arrest.
A significant number of patients without ST elevation have underlying coronary lesions, necessitating broader angiography criteria.

Conclusions:

Emergent coronary angiography and percutaneous coronary intervention are vital treatments in Cardiac Receiving Centers, beyond hypothermia.
These procedures are fundamental to the core function of Cardiac Receiving Centers.
The capacity for emergent coronary angiography should be available for all resuscitated patients without a clear noncardiac cause.