Successful Post-resuscitation Treatment: Key To Post-cardiac Arrest Survival

摘要

Restoration of spontaneous cardiac activity in survivors of cardiac arrest does not guarantee a positive outlook thereafter. Although post-resuscitation treatment has been marginally effective in preventing a re-occurrence of cardiac arrest, many of these survivors suffer from debilitating symptoms that affect other regions of the body. This post-resuscitation disease can be attributed to the reperfusion syndrome and the subsequent triggering of a sepsis-like systemic inflammatory response. This has led to the fresh approach of an early-goal directed hemodynamic treatment not only to improve the survival of post-cardiac arrest survivors but also to maintain a reasonable quality of life post-resuscitation. Globalization and increasing affluence in developed countries has resulted in the dramatic rise in cardiovascular disease which is now increasingly becoming a leading cause of death in our society. In addition to natural predisposition factors such as aging, previous history of diabetes or heart failure, many of our lifestyle factors such as reduced physical activity, obesity, stress and sleep deprivation all contribute to the manifestation of this disease.