Fasolino Alessandro, Compagnoni Sara, Baldi Enrico, Tavazzi Guido, Grand Johannes, Colombo Costanza N J, Gentile Francesca Romana, Vicini Scajola Luca, Quilico Federico, Lopiano Clara, Primi Roberto, Bendotti Sara, Currao Alessia, Savastano Simone
Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Department of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.
Rev Cardiovasc Med. 2022 Oct 31;23(11):373. doi: 10.31083/j.rcm2311373. eCollection 2022 Nov.
Out-of-hospital cardiac arrest is one of the leading causes of mortality worldwide. The goal of resuscitation is often meant as the return of spontaneous circulation (ROSC). However, ROSC is only one of the steps towards survival. The post-ROSC phase is still a challenging one during which the risk of death is all but averted. Morbidity and mortality are exceedingly high due to cardiovascular and neurologic issues; for this reason, post ROSC care relies on international guidelines, the latest being published on April 2021. Since then, several studies have become available covering a variety of topics of crucial importance for post-resuscitation care such as the interpretation of the post-ROSC ECG, the timing of coronary angiography, the role of complete myocardial revascularization and targeted temperature management. This narrative review focuses on these new evidences, in order to further improve clinical practice, and on the need for a multidisciplinary and integrated system of care.
院外心脏骤停是全球主要的死亡原因之一。复苏的目标通常是恢复自主循环（ROSC）。然而，ROSC只是迈向生存的其中一步。恢复自主循环后的阶段仍然具有挑战性，在此期间死亡风险几乎无法避免。由于心血管和神经问题，发病率和死亡率极高；因此，恢复自主循环后的护理依赖于国际指南，最新版于2021年4月发布。自那时以来，已有多项研究问世，涵盖了对复苏后护理至关重要的各种主题，如恢复自主循环后心电图的解读、冠状动脉造影的时机、完全心肌血运重建的作用以及目标温度管理。本叙述性综述聚焦于这些新证据，以进一步改善临床实践，以及对多学科综合护理系统的需求。
