Halablab Saleem M, Reis William, Abella Benjamin S
Department of Emergency Medicine and the Center for Resuscitation Science, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Clin Med. 2024 Sep 28;13(19):5804. doi: 10.3390/jcm13195804.
Out-of-hospital cardiac arrest (OHCA) represents a significant global public health burden, characterized by low survival and few established diagnostic tools to guide intervention. OHCA presents with a wide variety of etiologies in a heterogeneous population, posing a clinical challenge to care teams. In this review, we describe evolving research focused on diagnostic approaches to OHCA following resuscitation, including electrocardiography, coronary angiography, computed tomography, ultrasonography, and serologic biomarker assessment. These diagnostic tools have been employed in post-resuscitative efforts for diagnosing ischemic and non-ischemic cardiac, respiratory, neurologic, vascular, traumatic, and metabolic causes of arrest.
院外心脏骤停（OHCA）是一项重大的全球公共卫生负担，其特点是生存率低且用于指导干预的既定诊断工具很少。OHCA在异质人群中存在多种病因，给护理团队带来了临床挑战。在本综述中，我们描述了针对复苏后OHCA诊断方法的不断发展的研究，包括心电图、冠状动脉造影、计算机断层扫描、超声检查和血清生物标志物评估。这些诊断工具已被用于复苏后的诊断工作，以确定心脏骤停的缺血性和非缺血性心脏、呼吸、神经、血管、创伤和代谢原因。
