Thevathasan Tharusan, Pöss Janine, Montisci Andrea, Schmack Bastian, Eghbalzadeh Kaveh, Ott Sascha, Tavazzi Guido, Schrage Benedikt, D'Ettore Nicoletta, Pappalardo Federico
Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany.
BIH Biomedical Innovation Academy, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Anna-Louisa-Karsch-Strasse 2, 10178 Berlin, Germany.
Eur Heart J Suppl. 2025 Feb 4;27(Suppl 4):iv31-iv38. doi: 10.1093/eurheartjsupp/suae122. eCollection 2025 Apr.
Cardiac arrest is a critical emergency in cardiovascular medicine, requiring rapid, multidisciplinary interventions to enhance patient survival and neurological outcomes. This review explores the unique challenges of managing out-of-hospital (OHCA) and in-hospital cardiac arrest (IHCA), with a focus on mechanical circulatory support (MCS) and extracorporeal cardiopulmonary resuscitation for selected patients. While OHCA management should prioritize rapid transport to specialized centres, IHCA may allow for immediate, patient-tailored interventions. Post-cardiac arrest syndrome adds complexity, often requiring nuanced MCS escalation and weaning. Standardized protocols, ethical considerations, and further research are essential to refine patient selection and improve outcomes, ultimately advancing cardiac arrest care.
心脏骤停是心血管医学中的一种危急急症，需要迅速采取多学科干预措施以提高患者生存率和改善神经功能结局。本综述探讨了院外心脏骤停（OHCA）和院内心脏骤停（IHCA）管理中的独特挑战，重点关注特定患者的机械循环支持（MCS）和体外心肺复苏。虽然OHCA的管理应优先考虑迅速转运至专业中心，但IHCA则可能允许立即进行针对患者的个体化干预。心脏骤停后综合征增加了复杂性，通常需要细致地逐步增加和撤离MCS。标准化方案、伦理考量以及进一步研究对于优化患者选择和改善结局至关重要，最终推动心脏骤停的治疗进展。
