Author/Editor		Sinkovič, Andreja; Marinšek, Martin; Ribarič, Vesna
Title		Obravnava bolnikov po srčnem zastoju in oživljanju
Translated title		Treatment of patients after cardiac arrest and resuscitation
Type		članek
Source		In: Hojs R, Krajnc I, Pahor A, et al, editors. Zbornik predavanj in praktikum 15. srečanje internistov in zdravnikov splošne medicine Iz prakse za prakso z mednarodno udeležbo; 2004 maj 7-8; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2004
Volume		str. 139-53
Language		slo
Abstract		Cardiac arrest is the sudden cessation of cardiac pump function due to ventricular fibrillation or asystole. Without prompt appropriate therapy - cardiopulmonary resuscitation - it leads to death. Sudden cardiac death is an unexpected natural death due to cardiac causes and accounts for 12-13% of all causes of death, mainly due to coronary heart disease. In Europe, the incidence of sudden cardiac death is 0.361.28/1000 inhabitants per year. Survival of patients after successful out-of hospital cardiopulmonary resuscitation is only 1.6-10%, survival of patients after in-hospital resuscitation varies (3-35%). Survival of patients admitted to our hospital after previous successful cardiopulmonary resuscitation was 40.4%, but only 26.6% were discharged. Among factors associated with better survival, the most important are: primary ventricular fibrillation or pulseless tachycardia as causes of cardiac arrest, early defibrillation, early onset of consciousness after resuscitation, measured blood pressure, sinus rhythm and normal ECG on admission as well as younger age. Further treatment interventions in intensive care units are directed towards the improvement of breathing, hemodynamic function and retum of normal cerebral function with no neurological deficits as well as causal diagnosis in order to prevent the recurrence of cardiac arrest.
Descriptors		HEART ARREST CARDIOPULMONARY RESUSCITATION MYOCARDIAL INFARCTION CORONARY DISEASE TREATMENT OUTCOME