Neurologic outcome in patients with cardiac arrest complicating ST elevation myocardial infarction treated by mild therapeutic hypothermia: The experience of a tertiary institution

Objective: Therapeutic hypothermia improves neurologic prognosis after cardiac arrest. The aim of this study was to report clinical experience with intravascular method of cooling in patients with cardiac arrest resulting from ST-segment elevation myocardial infarction (STEMI). Methods: Thirteen pat...

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Main Authors: Emre Aruğaslan (Author), Mehmet Karaca (Author), Kazım Serhan Özcan (Author), Ahmet Zengin (Author), Mustafa Adem Tatlısu (Author), Emrah Bozbeyoğlu (Author), Seçkin Satılmış (Author), Özlem Yıldırımtürk (Author), İbrahim Yekeler (Author), Zekeriya Nurkalem (Author)
Format: Book
Published: KARE Publishing, 2016-04-01T00:00:00Z.
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LEADER 00000 am a22000003u 4500
001 doaj_fe9af59e62d149d0a02f3fba49b7a19e
042 |a dc 
100 1 0 |a Emre Aruğaslan  |e author 
700 1 0 |a Mehmet Karaca  |e author 
700 1 0 |a Kazım Serhan Özcan  |e author 
700 1 0 |a Ahmet Zengin  |e author 
700 1 0 |a Mustafa Adem Tatlısu  |e author 
700 1 0 |a Emrah Bozbeyoğlu  |e author 
700 1 0 |a Seçkin Satılmış  |e author 
700 1 0 |a Özlem Yıldırımtürk  |e author 
700 1 0 |a İbrahim Yekeler  |e author 
700 1 0 |a Zekeriya Nurkalem  |e author 
245 0 0 |a Neurologic outcome in patients with cardiac arrest complicating ST elevation myocardial infarction treated by mild therapeutic hypothermia: The experience of a tertiary institution 
260 |b KARE Publishing,   |c 2016-04-01T00:00:00Z. 
500 |a 1016-5169 
500 |a 10.5543/tkda.2015.76436 
520 |a Objective: Therapeutic hypothermia improves neurologic prognosis after cardiac arrest. The aim of this study was to report clinical experience with intravascular method of cooling in patients with cardiac arrest resulting from ST-segment elevation myocardial infarction (STEMI). Methods: Thirteen patients (11 male, 2 famele; mean age was 39.6+-9.4 years) who had undergone mild therapeutic hypothermia (MTH) by intravascular cooling after cardiac arrest due to STEMI were included. Clinical, demographic, and procedural data were analyzed. Neurologic outcome was assessed by Cerebral Performance Category (CPC) score. Results: Anterior STEMI was observed in 9 patients. One patient died of cardiogenic shock complicating STEMI. Mean cardiopulmonary resuscitation (CPR) duration and door-toinvasive cooling were 32.9+-20.1 and 286.1+-182.3 minutes, respectively. Precooling Glasgow Coma Scale score was 3 in 9 subjects. Twelve patients were discharged, 11 with CPC scores of 1 at 1-year follow-up. No major complication related to procedure was observed. Conclusion: In comatose survivors of STEMI, therapeutic hypothermia by intravascular method is a feasible and safe treatment modality. 
546 |a EN 
546 |a TR 
690 |a cardiac arrest 
690 |a therapeutic hypothermia; myocardial infarction 
690 |a Medicine 
690 |a R 
690 |a Internal medicine 
690 |a RC31-1245 
690 |a Diseases of the circulatory (Cardiovascular) system 
690 |a RC666-701 
655 7 |a article  |2 local 
786 0 |n Türk Kardiyoloji Derneği Arşivi, Vol 44, Iss 2, Pp 100-104 (2016) 
787 0 |n https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-76436 
787 0 |n https://doaj.org/toc/1016-5169 
856 4 1 |u https://doaj.org/article/fe9af59e62d149d0a02f3fba49b7a19e  |z Connect to this object online.