Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Crit Care Clin. 2020 Oct;36(4):771-786. doi: 10.1016/j.ccc.2020.07.007. Epub 2020 Aug 12.
Cardiac arrest (CA) results in multiorgan ischemia until return of spontaneous circulation and often is followed by a low-flow shock state. Upon restoration of circulation and organ perfusion, resuscitative teams must act quickly to achieve clinical stability while simultaneously addressing the underlying etiology of the initial event. Optimal cardiovascular care demands focused management of the post-cardiac arrest syndrome and associated shock. Acute coronary syndrome should be considered and managed in a timely manner, because early revascularization improves patient outcomes and may suppress refractory arrhythmias. This review outlines the diagnostic and therapeutic considerations that define optimal cardiovascular care after CA.
心脏骤停（CA）会导致多器官缺血，直到自主循环恢复，通常随后会出现低血流休克状态。在循环和器官灌注恢复后，复苏团队必须迅速采取行动，在解决初始事件根本病因的同时实现临床稳定。最佳心血管护理需要专注于心脏骤停后综合征和相关休克的管理。应及时考虑和处理急性冠状动脉综合征，因为早期血运重建可改善患者预后，并可能抑制难治性心律失常。本综述概述了定义 CA 后最佳心血管护理的诊断和治疗注意事项。
