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- Title
Decision making in out-of-hospital cardiac arrest: what should come first?
- Authors
van 't Hof, Arnoud W. J.; Delnoij, Thijs S. R.; van der Horst, Iwan C. C.
- Abstract
The article discusses the importance of timely decision-making in out-of-hospital cardiac arrest (OHCA) cases. Prompt treatment is crucial to prevent organ function deterioration and improve survival rates. The article presents a retrospective study on patients with acute myocardial infarction after OHCA, focusing on the impact of ruling out severe brain hemorrhage before coronary intervention on time. The study found that additional diagnostics caused a significant delay in treatment, but the number of patients with intracranial hemorrhage was low. The article suggests that current strategies for treating OHCA patients with ST-elevation myocardial infarction (STEMI) should be reconsidered to balance the benefits of early treatment with the risk of adverse events. The authors emphasize the need for case-specific decisions and inform caregivers and patients that there is no standard method of treatment without risk.
- Subjects
CARDIAC arrest; MYOCARDIAL infarction; DECISION making; HEART failure; ST elevation myocardial infarction
- Publication
Netherlands Heart Journal, 2024, Vol 32, Issue 3, p116
- ISSN
1568-5888
- Publication type
Article
- DOI
10.1007/s12471-024-01856-w