Tom 10, Nr 1 (2015)
Artykuł przeglądowy
Opublikowany online: 2015-03-02
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Łagodna hipotermia terapeutyczna po nagłym zatrzymaniu krążenia w przebiegu ostrego zespołu wieńcowego – doświadczenia z wdrażania metody.
DOI: 10.5603/FC.2015.0005
Folia Cardiologica 2015;10(1):19-24.
Streszczenie
Wysoką śmiertelność wśród pacjentów, u których osiągnięto powrót spontanicznego krążenia po jego zatrzymaniu, można przypisać różnym procesom patofizjologicznym. Działająca wielokierunkowo łagodna hipotermia terapeutyczna (MTH) jest — jak dotąd — jedyną terapią, w odniesieniu do której udowodniono, że zwiększa przeżywalność pacjentów po zatrzymaniu krążenia. Europejskie Towarzystwo Kardiologiczne w 2012 roku przyznało hipotermii terapeutycznej stosowanej po nagłym zatrzymaniu krążenia najwyższą klasę wskazań I/B. Hipotermia, ze względu na swój skomplikowany mechanizm, wywiera zarówno pożądane, jak i niepożądane działania na organizm. Sposób jej stosowania i monitorowania są nadal kwestią sporną. Celem niniejszej pracy było podsumowanie obecnej wiedzy na temat stosowania MTH po nagłym zatrzymaniu krążenia.
Słowa kluczowe: hipotermia terapeutycznazatrzymanie krążeniałagodna hipotermia
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