About-Cardio
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We provide our users the most up-to-date and accurate information on the treatment and prevention of cardio pathologies in accordance with current American and European clinical guidelines.
The information provided on this website is for educational purposes only and should not be considered medical advice. Always consult a licensed physician for diagnosis and treatment.
Post-Resuscitation Care
Introduction
Surviving cardiac arrest is only the first step in a patient’s journey. Proper post-resuscitation care is essential to prevent further complications, optimize neurological recovery, and improve survival rates. This care follows return of spontaneous circulation (ROSC) and involves a multidisciplinary approach.
Key Components of Post-Resuscitation Care
1. Hemodynamic Stabilization
- Maintain adequate blood pressure (target: MAP ≥ 65 mmHg).
- Use fluids, vasopressors, and inotropes as needed.
- Monitor for arrhythmias and manage promptly.
2. Targeted Temperature Management (TTM)
- Helps improve neurological outcomes by reducing brain injury.
- Target temperature: 32-36°C for at least 24 hours.
- Avoid fever (>37.5°C) after TTM.
3. Neurological Monitoring and Prognostication
- Frequent clinical exams (pupillary response, motor response).
- EEG monitoring for seizure detection.
- Neuroimaging (CT/MRI) if indicated.
4. Oxygenation and Ventilation
- Target SaO₂ of 94-98% (avoid hyperoxia).
- Maintain normal CO₂ levels (PaCO₂ 35-45 mmHg).
5. Cardiac Support and Investigations
- Perform ECG to detect myocardial infarction.
- Consider coronary angiography in suspected cardiac causes.
- Evaluate for heart failure or cardiomyopathy.
6. Infection Management
- Monitor for pneumonia or sepsis.
- Use appropriate antibiotics if infection is suspected.
7. Long-Term Rehabilitation and Psychological Support
- Address cognitive and emotional recovery.
- Provide physical therapy and rehabilitation.
- Family education and counseling.
Conclusion
Post-resuscitation care is critical for long-term survival and quality of life. A structured approach covering hemodynamic management, neurological assessment, oxygenation, cardiac support, and rehabilitation can significantly improve patient outcomes.
Source recommendations
1. European Resuscitation Council Guidelines for Post-Resuscitation Care
- https://pubmed.ncbi.nlm.nih.gov/33765189/
- https://cprguidelines.eu/assets/guidelines/European-Resuscitation-Council-and-European-Societ.pdf
- https://pubmed.ncbi.nlm.nih.gov/26464394/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC7993077/
- https://www.sciencedirect.com/science/article/abs/pii/S0300957221000654
2. American Heart Association Guidelines for Post-Cardiac Arrest Care
- https://www.ahajournals.org/doi/10.1161/CIR.0000000000001194
- https://cpr.heart.org/-/media/CPR-Files/CPR-Guidelines-Files/Algorithms/AlgorithmACLS_PCAC_200622.pdf?sc_lang=en
- https://www.ahajournals.org/doi/10.1161/CIR.0000000000001163
- https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/algorithms
- https://pubmed.ncbi.nlm.nih.gov/20956225/
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If you or your loved ones experience any of these symptoms, you should consult a doctor in time. Remember that self-medication can be dangerous, and timely diagnosis will preserve the quality and life expectancy.
The heart is an organ that does not know how to "keep silent" if something goes wrong. Chest pain, shortness of breath, swelling, dizziness, and rhythm disturbances are the symptoms that require our attention. The best prevention of heart disease is careful attention to your health, regular checkups with a doctor, and a healthy lifestyle. Take care of your heart, and it will serve you for many years!
Our advantages:
Best practices from USA, EU and Japan
Our answers to your questions are based on the clinical recommendations of countries with the most developed healthcare systems in the field of cardiology in the USA, the EU and Japan.
Always up-to-date information
On a daily basis, we monitor for you all new scientific research publications in leading scientific journals on medical issues of interest to you.
We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
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Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.
Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.