Circulation最新文献

{"title":"Part 5: Neonatal Resuscitation: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.","authors":"Henry C Lee, Marya L Strand, Emer Finan, Jessica Illuzzi, Beena D Kamath-Rayne, Vishal Kapadia, Melissa Mahgoub, Susan Niermeyer, Stephen M Schexnayder, Georg M Schmölzer, Jessica Weglarz, Amanda L Williams, Gary M Weiner, Myra Wyckoff, Nicole K Yamada, Edgardo Szyld","doi":"10.1161/CIR.0000000000001367","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001367","url":null,"abstract":"<p><p>The guidelines in this document from the American Heart Association and the American Academy of Pediatrics focus upon optimal care of the newborn infant, including those who are proceeding to a normal transition from the fluid-filled uterine environment to birth. Newborn infants who are proceeding to normal transition can benefit from deferred cord clamping for at least 60 seconds in most instances, skin-to-skin with their parent soon after birth, and appropriate assistance with thermoregulation. Some newborn infants require assistance during transition, with interventions ranging from warming and tactile stimulation to advanced airway management, assisted ventilation, oxygen therapy, intravascular access, epinephrine, and volume expansion. In this context, individuals, teams, and health care settings that care for newborn infants should be prepared and have access to appropriate training and resources for neonatal resuscitation. The newborn chain of care provides guidance on considerations that may lead to optimal outcomes for newborn infants starting from prenatal care to recovery and follow-up.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_2","pages":"S385-S423"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodology and Conflict of Interest Management: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations.","authors":"Peter T Morley, Katherine M Berg, John E Billi, Jerry P Nolan, William H Montgomery, Dianne L Atkins, Janet E Bray, Jestin N Carlson, Allan R de Caen, Therese Djärv, Ian R Drennan, Robert Greif, Eric J Lavonas, Helen G Liley, Andrew S Lockey, Ian Maconochie, Robert W Neumar, Theresa M Olasveengen, Aaron M Orkin, Gavin D Perkins, Yacov Rabi, Claudio Sandroni, Georg M Schmölzer, Barnaby R Scholefield, Eunice M Singletary, Michelle Welsford, Joyce Yeung, Laurie J Morrison","doi":"10.1161/CIR.0000000000001366","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001366","url":null,"abstract":"","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_1","pages":"S23-S33"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Pooled Cohort and the PREVENT Cardiovascular Disease Risk Equations in the Veterans Health Administration.","authors":"Sara J King, Adam Furst, Jun Fan, Tania P Chen, David J Maron, Paul Heidenreich, Shriram Nallamshetty, Neil M Kalwani, Jonathan H Ward, Anthony Lozama, Fatima Rodriguez, Alexander T Sandhu","doi":"10.1161/CIRCULATIONAHA.125.074224","DOIUrl":"https://doi.org/10.1161/CIRCULATIONAHA.125.074224","url":null,"abstract":"","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16","pages":"1183-1185"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Highlights From the <i>Circulation</i> Family of Journals.","authors":"","doi":"10.1161/CIRCULATIONAHA.125.077572","DOIUrl":"https://doi.org/10.1161/CIRCULATIONAHA.125.077572","url":null,"abstract":"","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16","pages":"1174-1178"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.","authors":"Jane G Wigginton, Sachin Agarwal, Jason A Bartos, Ryan A Coute, Ian R Drennan, Ameera Haamid, Peter J Kudenchuk, Mark S Link, Ashish R Panchal, Michele M Pelter, Marina Del Rios, Amber J Rodriguez, Sarah M Perman, Stephen Sanko, Pavitra Kotini-Shah, Michael C Kurz","doi":"10.1161/CIR.0000000000001376","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001376","url":null,"abstract":"<p><p>In these 2025 Advanced Life Support Guidelines, the American Heart Association provides comprehensive recommendations for the resuscitation and management of adults experiencing cardiac arrest, respiratory arrest, and life-threatening cardiovascular emergencies. Based on structured evidence reviews and the latest clinical research, these guidelines offer evidence-based strategies to optimize survival and patient outcomes. The 2025 guidelines provide guidance for the treatment of cardiac arrest, including ventricular fibrillation, pulseless ventricular tachycardia, asystole, and pulseless electrical activity, as well as peri-arrest conditions such as atrial fibrillation and flutter with rapid ventricular response. Recommendations are made for defibrillation, electrical cardioversion, advanced airway management, drug therapies, and intravenous access. Additionally, guidelines are provided for the use of double sequential defibrillation, head-up cardiopulmonary resuscitation, and point-of-care ultrasound in the advanced life support setting. Termination of resuscitation rules have been refined to guide decision-making based on the emergency medical services professional's scope of practice. Finally, these guidelines also underscore the importance of identifying causative versus secondary arrhythmias to inform the appropriate timing of therapeutic strategies.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_2","pages":"S538-S577"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Part 6: Pediatric Basic Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.","authors":"Benny L Joyner, Maya Dewan, Aarti Bavare, Allan de Caen, Kimberly DiMaria, Joelle Donofrio-Odmann, Gwen Fosse, Sarah Haskell, Melissa Mahgoub, Garth Meckler, Jennifer Requist, Stephen M Schexnayder, Michelle Olech Smith, David Werho, Tia T Raymond","doi":"10.1161/CIR.0000000000001370","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001370","url":null,"abstract":"<p><p>Codeveloped by the American Heart Association and the American Academy of Pediatrics, this publication presents the 2025 guidelines for basic life support during cardiopulmonary resuscitation and emergency cardiovascular care of the pediatric patient, excluding the newborn infant, and represents the first comprehensive update of treatment recommendations since 2020. Incorporating the results of structured evidence reviews from the International Liaison Committee on Resuscitation, these guidelines are for lay rescuers and health care professionals with recommendations designed to improve survival from sudden cardiac arrest and acute life-threatening cardiopulmonary problems. Existing guidelines remain relevant unless specifically updated in this publication. Topics reviewed include the initiation of cardiopulmonary resuscitation; pulse check; components of high-quality cardiopulmonary resuscitation; chest compression technique; support surfaces for cardiopulmonary resuscitation; opening the airway; coordination of shock and cardiopulmonary resuscitation; types of defibrillators or automated external defibrillators; defibrillator paddle or pad size, type, position; treatment of inadequate breathing with a pulse; and foreign-body airway obstruction. Key topics that are new, are substantially revised, or have significant new literature include the elimination of 2-finger chest compressions in infants due to ineffectiveness of achieving proper depth with a recommendation of 1-hand or 2 thumb-encircling hands technique; the immediate application and use of an automated external defibrillator with a pediatric attenuator if available for cardiac arrest; and in infants with severe foreign-body airway obstruction repeated cycles of 5 back blows alternating with 5 chest thrusts (no abdominal thrusts), and in children with severe foreign-body airway obstruction repeated cycles of 5 back blows alternating with 5 abdominal thrusts.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_2","pages":"S424-S447"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Executive Summary: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations.","authors":"Katherine M Berg, Janet E Bray, Therese Djärv, Ian R Drennan, Robert Greif, Helen G Liley, Barnaby R Scholefield, Dianne L Atkins, Jestin N Carlson, Allan R de Caen, Eric J Lavonas, Andrew S Lockey, William H Montgomery, Laurie J Morrison, Theresa M Olasveengen, Yacov Rabi, Claudio Sandroni, Georg M Schmölzer, Eunice M Singletary, Michelle Welsford, Joyce Yeung, John E Billi, Farhan Bhanji, Vinay M Nadkarni, Robert W Neumar, Gavin D Perkins, Jeanette K Previdi, Raffo Escalante-Kanashiro, Sung Phil Chung, Tony Scott, David Stanton, Siddha Sc Chakra Rao, Federico Semeraro, Amber V Hoover, Peter T Morley, Jerry P Nolan","doi":"10.1161/CIR.0000000000001361","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001361","url":null,"abstract":"","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_1","pages":"S2-S22"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal Life Support: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations.","authors":"Helen G Liley, Gary M Weiner, Myra H Wyckoff, Yacov Rabi, Georg M Schmölzer, Maria Fernanda de Almeida, Daniela T Costa-Nobre, Peter G Davis, Jennifer A Dawson, Walid El-Naggar, Jorge G Fabres, Joe Fawke, Elizabeth E Foglia, Ruth Guinsburg, Tetsuya Isayama, Mandira Daripa Kawakami, Henry C Lee, R John Madar, Christopher J D McKinlay, Victoria J Monnelly, Firdose L Nakwa, Mario Rϋdiger, Anne Lee Solevåg, Takahiro Sugiura, Daniele Trevisanuto, Viraraghavan Vadakkencherry Ramaswamy, Nicole K Yamada, Marlies Bruckner, Emer Finan, David Honeyman, Daniel Ibarra Rios, Justin B Josephsen, C Omar Kamlin, Vishal Kapadia, Anup Katheria, Bin Huey Quek, Shalini Ramachandran, Charles Christoph Roehr, Anna Lene Seidler, Marya L Strand, Enrique Udaeta-Mora, Katherine M Berg","doi":"10.1161/CIR.0000000000001363","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001363","url":null,"abstract":"<p><p>The International Liaison Committee on Resuscitation continually reviews new, peer-reviewed cardiopulmonary resuscitation science and publishes comprehensive reviews every 5 years. The Neonatal Life Support chapter of the <i>2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations</i> addresses all published resuscitation evidence reviewed by the Neonatal Life Support Task Force science experts since 2020. This summary addresses 40 questions on population, intervention, comparator, and outcomes, addressing all parts of the Neonatal Resuscitation Algorithm. The summary includes 4 new systematic reviews, 2 new scoping reviews, and evidence updates for other topics. Members of the Neonatal Life Support Task Force have assessed, discussed, and debated the quality of the evidence on the basis of Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task force are provided in the Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task force lists priority knowledge gaps for further research.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_1","pages":"S165-S204"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Life Support: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations.","authors":"Barnaby R Scholefield, Jason Acworth, Kee-Chong Ng, Lokesh Kumar Tiwari, Tia T Raymond, Andrea Christoff, Stephan Katzenschlager, Raffo Escalante-Kanashiro, Arun Bansal, Alexis Topjian, Monica Kleinman, Hiroshi Kurosawa, Michelle C Myburgh, Jimena Del Castillo, Joseph Rossano, Jana Djakow, Anne-Marie Guerguerian, Vinay M Nadkarni, Thomaz Bittencourt Couto, Stephen M Schexnayder, Gabrielle Nuthall, Janice A Tijssen, Gene Yong-Kwang Ong, James M Gray, Jesus Lopez-Herce, Ester Shambekela Ambunda, Jerry P Nolan, Katherine M Berg, Laurie J Morrison, Dianne L Atkins, Allan R de Caen","doi":"10.1161/CIR.0000000000001362","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001362","url":null,"abstract":"<p><p>The International Liaison Committee on Resuscitation conducts continuous review of new peer-reviewed published cardiopulmonary resuscitation science and publishes annual summaries. More comprehensive reviews are published every 5 years. The Pediatric Life Support Task Force chapter of the <i>2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations</i> addresses all published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Pediatric Life Support Task Force members in the past year, as well as brief summaries of topics reviewed since 2020, to provide a more comprehensive update. In total, 39 questions related to pre-arrest, intra-arrest, and postarrest resuscitation phases of pediatric cardiac arrest are included, including systematic reviews, scoping reviews, and evidence updates. Members of the task force assessed, discussed, and debated the quality of evidence, based on Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into deliberations of the task force are provided in the <i>Justification and Evidence-to-Decision Framework Highlights</i> sections. The task force has also listed priority knowledge gaps for further research.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_1","pages":"S116-S164"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Education, Implementation, and Teams: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations.","authors":"Robert Greif, Adam Cheng, Cristian Abelairas-Gómez, Katherine S Allan, Jan Breckwoldt, Andrea Cortegiani, Aaron J Donoghue, Kathryn J Eastwood, Barbara Farquharson, Ming-Ju Hsieh, Tracy Kidd, Ying-Chih Ko, Kasper G Lauridsen, Yiqun Lin, Andrew S Lockey, Tasuku Matsuyama, Sabine Nabecker, Kevin J Nation, Alexander Olaussen, Sebastian Schnaubelt, Taylor Sawyer, Chih-Wei Yang, Joyce Yeung","doi":"10.1161/CIR.0000000000001359","DOIUrl":"https://doi.org/10.1161/CIR.0000000000001359","url":null,"abstract":"<p><p>The International Liaison Committee on Resuscitation conducts continuous reviews of new, peer-reviewed, published cardiopulmonary resuscitation science and publishes more comprehensive reviews every 5 years. The Education, Implementation, and Teams chapter of the <i>2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations</i> describes all published resuscitation evidence reviewed by the International Liaison Committee on Resuscitation's Education, Implementation, and Teams Task Force science experts since 2020. This summary addresses the evidence in 4 subchapters: (1) training populations, (2) faculty development, (3) knowledge translation and implementation, and (4) instructional design. Members from the Education, Implementation, and Teams Task Force have assessed, discussed, and debated the quality of the evidence, based on Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task force are provided in the Justification and Evidence-to-Decision Framework Highlights sections. Priority knowledge gaps for further research are listed.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"152 16_suppl_1","pages":"S205-S249"},"PeriodicalIF":38.6,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145343929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}