ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Neurologic outcome in patients with cardiac arrest complicating ST elevation myocardial infarction treated by mild therapeutic hypothermia: The experience of a tertiary institution [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(2): 100-104 | DOI: 10.5543/tkda.2015.76436

Neurologic outcome in patients with cardiac arrest complicating ST elevation myocardial infarction treated by mild therapeutic hypothermia: The experience of a tertiary institution

Emre Aruğaslan1, Mehmet Karaca1, Kazım Serhan Özcan1, Ahmet Zengin1, Mustafa Adem Tatlısu1, Emrah Bozbeyoğlu1, Seçkin Satılmış1, Özlem Yıldırımtürk1, İbrahim Yekeler2, Zekeriya Nurkalem3
1Department Of Cardiology, Siyami Ersek Cardiovascular And Thoracic Surgery Center, Istanbul, Turkey
2Department Of Cardiovascular Surgery, Siyami Ersek Cardiovascular And Thoracic Surgery Center, Istanbul, Turkey
3Department of Cardiology, Istanbul Medipol University Faculty of Medicine, Istanbul, Turkey


OBJECTIVE
Therapeutic hypothermia improves neurologic prognosis after cardiac arrest. The aim of this study was to report clinical experience with intravascular method of cooling in patients with cardiac arrest resulting from ST-segment elevation myocardial infarction (STEMI).

METHODS
Thirteen patients (11 male, 2 famele; mean age was 39.6±9.4 years) who had undergone mild therapeutic hypothermia (MTH) by intravascular cooling after cardiac arrest due to STEMI were included. Clinical, demographic, and procedural data were analyzed. Neurologic outcome was assessed by Cerebral Performance Category (CPC) score.

RESULTS
Anterior STEMI was observed in 9 patients. One patient died of cardiogenic shock complicating STEMI. Mean cardiopulmonary resuscitation (CPR) duration and door-toinvasive cooling were 32.9±20.1 and 286.1±182.3 minutes, respectively. Precooling Glasgow Coma Scale score was 3 in 9 subjects. Twelve patients were discharged, 11 with CPC scores of 1 at 1-year follow-up. No major complication related to procedure was observed.

CONCLUSION
In comatose survivors of STEMI, therapeutic hypothermia by intravascular method is a feasible and safe treatment modality.

Keywords: Cardiac arrest, therapeutic hypothermia; myocardial infarction

How to cite this article
Emre Aruğaslan, Mehmet Karaca, Kazım Serhan Özcan, Ahmet Zengin, Mustafa Adem Tatlısu, Emrah Bozbeyoğlu, Seçkin Satılmış, Özlem Yıldırımtürk, İbrahim Yekeler, Zekeriya Nurkalem. Neurologic outcome in patients with cardiac arrest complicating ST elevation myocardial infarction treated by mild therapeutic hypothermia: The experience of a tertiary institution. Turk Kardiyol Dern Ars. 2016; 44(2): 100-104

Corresponding Author: Emre Aruğaslan, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
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0.22
SCImago Journal Rank: 0.348

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