Recuperación neurológica completa tras 50 minutos de reanimación cardiopulmonar. A propósito de un caso

  1. Urko Blanco-Fuentes 1
  2. Francisco-Javier Gil-Martín 1
  3. Naiara Gómez-Pardo 1
  4. David Veliz-Hernández 1
  1. 1 Servicio Vasco de Salud-Osakidetza. Emergencias. Euskadi, España
Journal:
Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios

ISSN: 0304-4858,  2173-2302

Year of publication: 2021

Volume: 118

Issue: 1

Pages: 26-30

Type: Article

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More publications in: Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios

Abstract

Up to 70% of extrahospital cardiac arrests are due to acute myocardial infarction or pulmonary embolism. A case report published in the journal Resuscitation shows excellent survival rates and neurological outcomes in selected patients with a high probability of myocardial infarction, who suffer from cardiac arrest and are treated with intrapaired fibrinolysis. A good neurological outcome may occur after prolonged resuscitation. The early intervention of the witnesses initiating the resuscitation has established itself as one of the key actions for the good final prognosis of these patients, barely reaching 30% of the stops. Despite the disappointing results of the study (TROICA), outpatient fibrinolysis during CPR in selected patients can be highly beneficial with excellent survival rates and neurological outcomes.

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Data source: Dialnet