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Post Cardiac Arrest Care in the Cardiac Intensive Care Unit

  • Cardiovascular Critical Care (A Higgins and R Lee, Section Editors)
  • Published:
Current Cardiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Cardiac arrests constitute a leading cause of mortality in the adult population and cardiologists are often tasked with the management of patients following cardiac arrest either as a consultant or primary provider in the cardiac intensive care unit. Familiarity with evidence-based practice for post-cardiac arrest care is a requisite for optimizing outcomes in this highly morbid group. This review will highlight important concepts necessary to managing these patients.

Recent Findings

Emerging evidence has further elucidated optimal care of post-arrest patients including timing for routine coronary angiography, utility of therapeutic hypothermia, permissive hypercapnia, and empiric aspiration pneumonia treatment.

Summary

The complicated state of multi-organ failure following cardiac arrest needs to be carefully optimized by the clinician to prevent further neurologic injury and promote systemic recovery. Future studies should be aimed at understanding if these findings extend to specific patient populations, especially those at the highest risk for poor outcomes.

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Authors and Affiliations

  1. Department of Medicine, Division of Cardiology, University of Minnesota, 420 Delaware St SE, MMC 508, Minneapolis, MN, 55455, USA

    Daniel Gonzalez, Rahul Singh & Andrea M. Elliott

  2. Department of Medicine, Division of Pulmonary and Critical Care Medicine, Duke University, Durham, USA

    Garima Dahiya

  3. Department of Medicine, University of Minnesota, Minneapolis, USA

    Pornthira Mutirangura & Tesfatsiyon Ergando

  4. University of Minnesota Medical School, Minneapolis, USA

    Gregory Mello

  5. Department of Neurology, University of Minnesota, Minneapolis, USA

    Oladi Bentho

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Gonzalez, D., Dahiya, G., Mutirangura, P. et al. Post Cardiac Arrest Care in the Cardiac Intensive Care Unit. Curr Cardiol Rep 26, 35–49 (2024). https://doi.org/10.1007/s11886-023-02015-0

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