关于“院外心脏骤停后的预测因素和存活率”一文的见解。

IF 3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Jinfeng Li MD, Lei Bao MD, Mengyue Gu MD, Mengmei Wang MD, Hui Zhong MBBS
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引用次数: 0

摘要

诊断和治疗方法的进步使与各种疾病有关的发病率和死亡率显著降低。在急性缺血性心脏病的背景下,从建立心脏icu开始,已经取得了重要的里程碑。这些在为患有严重心脏病的患者提供专门护理方面至关重要。在这一发展之后,介绍了恢复动脉阻塞损害区域血流的方法。最初,全身溶栓是使用的主要方法,但它已被主要经皮冠状动脉介入治疗(PCI)所取代,也被称为初级冠状动脉成形术,由于其有效性和安全性,它现在是首选的治疗方法。院外心脏骤停(OHCA)的发生率,在复苏尝试,无论成功与否,是显著的,并提出了相当大的挑战。不幸的是,这些病人的死亡率仍然高得令人痛心,降低死亡率的努力充满了困难。重要的是要认识到,OHCA的生存并不自动等同于良好的临床结果,因为严重的神经损伤是此类事件的常见后遗症。除了死亡率外,“具有良好神经预后的生存”一词已成为衡量复苏努力成功与否的另一个关键指标。这一参数强调了不仅要挽救生命,而且要保证幸存者的生活质量的重要性。恢复生命和认知功能的能力证明了向OHCA患者提供的全面护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An insight regarding the article ‘Predictors and rate of survival after out-of-hospital cardiac arrest.’
Advancements in diagnostic and therapeutic approaches have led to a remarkable reduction in the morbidity and mortality rates associated with a variety of diseases. In the context of acute ischemic heart disease, significant milestones have been achieved, beginning with the establishment of cardiac ICUs. These were pivotal in providing specialized care for patients with severe heart conditions. Subsequent to this development, methods to restore blood flow in areas compromised by arterial blockages were introduced. Initially, systemic thrombolysis was the primary method used, but it has since been largely supplanted by primary percutaneous coronary intervention (PCI), also known as primary coronary angioplasty, which is now the preferred treatment due to its effectiveness and safety. The incidence of out-of-hospital cardiac arrest (OHCA) where resuscitation attempts have been made, whether successful or not, is significant and presents a considerable challenge. Unfortunately, the mortality rate among these patients remains distressingly high, and efforts to reduce it are fraught with difficulty. It is crucial to acknowledge that survival from an OHCA does not automatically equate to a favorable clinical outcome, as serious neurological impairments are common sequelae of such events. In addition to mortality rates, the term "survival with favorable neurologic outcome" has emerged as another critical measure of the success of resuscitation efforts. This parameter underscores the importance of not only saving lives but also preserving the quality of life for survivors. The ability to restore both life and cognitive function is a testament to the comprehensiveness of care provided to OHCA patients.
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来源期刊
Current Problems in Cardiology
Current Problems in Cardiology 医学-心血管系统
CiteScore
4.80
自引率
2.40%
发文量
392
审稿时长
6 days
期刊介绍: Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.
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