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Journals / Türk Kardiyoloji Derneği Arşivi / 2016 / Cilt: 44 - Sayı: 2

ST yükselmeli miyokart enfarktüsü sonrası gelişen kalp durması nedeniyle tedavi amaçlı hipotermi uygulanan hastalarda nörolojik sonlanım: Üçüncü basamak merkez tecrübesi

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

Mustafa Adem TATLISU
Mehmet KARACA
İbrahim YEKELER
Zekeriya NURKALEM
Ahmet ZENGİN
Emrah BOZBEYOĞLU
Özlem YILDIRIMTÜRK
Seçkin SATILMIŞ
Kazım Serhan ÖZCAN
Emre ARUĞASLAN
Pages
100–104
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In comatose survivors of STEMI, therapeutichypothermia by intravascular method is a feasible and safetreatment modality.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Therapeutic hypothermia improves neurologicprognosis after cardiac arrest.
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Key Findings & Data:Methods: Thirteen patients (11 male, 2 famele; mean agewas 39.6±9.4 years) who had undergone mild therapeutichypothermia (MTH) by intravascular cooling after cardiac ar- rest due to STEMI were included.
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Conclusion & Impact:Conclusion: In comatose survivors of STEMI, therapeutichypothermia by intravascular method is a feasible and safetreatment modality.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Therapeutic hypothermia improves neurologicprognosis after cardiac arrest. The aim of this study was toreport clinical experience with intravascular method of cool- ing in patients with cardiac arrest resulting from ST-segmentelevation myocardial infarction (STEMI). Methods: Thirteen patients (11 male, 2 famele; mean agewas 39.6±9.4 years) who had undergone mild therapeutichypothermia (MTH) by intravascular cooling after cardiac ar- rest due to STEMI were included. Clinical, demographic, andprocedural data were analyzed. Neurologic outcome was as- sessed by Cerebral Performance Category (CPC) score. Results: Anterior STEMI was observed in 9 patients. Onepatient died of cardiogenic shock complicating STEMI. Meancardiopulmonary resuscitation (CPR) duration and door-to- invasive cooling were 32.9±20.1 and 286.1±182.3 minutes,respectively. Precooling Glasgow Coma Scale score was 3in 9 subjects. Twelve patients were discharged, 11 with CPCscores of 1 at 1-year follow-up. No major complication relatedto procedure was observed. Conclusion: In comatose survivors of STEMI, therapeutichypothermia by intravascular method is a feasible and safetreatment modality.

Özet

Amaç: Kalp durması sonrası tedavi amaçlı hipotermi uygula- masının nörolojik prognoz üzerine olumlu etkisi gösterilmiştir.Bu yazıda, ST yükselmeli miyokart enfarktüsüne (STYME)bağlı kalp durması geçiren hastalarda damariçi yöntemle ya- pılan soğutma tedavisine ilişkin çalışmamız sunuldu. Yöntemler: ST yükselmeli miyokart enfarktüsü sonrası kalpdurması nedeniyle damariçi yöntemle tedavi amaçlı hipotermiuygulanan 13 hasta (11 erkek, 2 kadın; ortalama yaş 39.6±9.4yıl) çalışmaya dahil edildi. Klinik, demografik ve soğutma iş- lemine ait veriler incelendi. Nörolojik takipler Serebral Perfor- mans Kategorisi skorlaması kullanılarak yapıldı. Bulgular: Dokuz hastada akut ön duvar miyokart enfarktüsütespit edildi. Bir hasta kardiyojenik şok nedeniyle kaybedildi.Ortalama kardiyopulmoner canlandırma süresi ve kapı invazivsoğutma süresi sırasıyla 32.9±20.1 ve 286.1±182.3 dakikaydı.Soğutma öncesi dokuz hastada Glaskow Koma Skalası 3 bu- lundu; 12 hasta taburcu edildi, 11 hastanın bir yıllık takipte Se- rebral Peformans Kategorisi skoru 1 olarak saptandı. Soğutmaişleminden kaynaklanan ciddi komplikasyon gözlenmedi. Sonuç: ST yükselmeli miyokart enfarktüsü sonrası koma ha- linde bulunan hastalarda damariçi yöntemle yapılan tedaviamaçlı hipotermi faydalı ve güvenli bir tedavi seçeneğidir.

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Cite This Article

TATLISU, M. A., KARACA, M., YEKELER, İ., NURKALEM, Z., ZENGİN, A., BOZBEYOĞLU, E., YILDIRIMTÜRK, Ö., SATILMIŞ, S., ÖZCAN, K. S., ARUĞASLAN, E. (2022). ST yükselmeli miyokart enfarktüsü sonrası gelişen kalp durması nedeniyle tedavi amaçlı hipotermi uygulanan hastalarda nörolojik sonlanım: Üçüncü basamak merkez tecrübesi. Türk Kardiyoloji Derneği Arşivi, Cilt: 44 - Sayı: 2, 100–104. https://ajindex.com/articles/632448

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