Larsen Jacob Moesgaard, Løfgren Bo, Ravkilde Jan, Krarup Niels Henrik
Kardiologisk Afdeling S, Forskningens Hus, Aarhus Universitetshospital, Aalborg Sygehus, Sdr. Skovvej 15, 9000 Aalborg, Denmark.
Ugeskr Laeger. 2011 Oct 31;173(44):2784-7.
Cardiac arrest has a poor prognosis. Ischaemic heart disease is the main cause of out-of-hospital cardiac arrest. This paper is a review of the essential studies on acute coronary angiography and angioplasty in post resuscitation care. No randomised studies were found. Observational studies support the use of acute angiography in ST-segment elevation myocardial infarction. The negative predictive value of ST-segment elevation can be low after out-of-hospital cardiac arrest, and acute angiography should be considered regardless of electrocardiographic findings.
心脏骤停预后较差。缺血性心脏病是院外心脏骤停的主要原因。本文是对复苏后护理中急性冠状动脉血管造影和血管成形术的重要研究的综述。未发现随机研究。观察性研究支持在ST段抬高型心肌梗死中使用急性血管造影。院外心脏骤停后ST段抬高的阴性预测价值可能较低，无论心电图结果如何，都应考虑进行急性血管造影。
