Year 2018, Volume 2 , Issue 1, Pages 32 - 34 2018-02-01

Akut miyokard infarktüsüne bağlı kardiyak arrest sonrası unutulan yaklaşım: Nöroprotektif terapötik hipotermi
A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia

Abdullah Özçelik [1] , Yakup Alsancak [2] , Ahmet Seyfeddin Gürbüz [3] , Abdullah İçli [4] , Ahmet Soylu [5]


Kardiyopulmoner resisütasyon sonrası spontan dolaşım sağlanan hastalarda, nöroprotektif amaçlı ilk 4-6 saat içinde vücut ısısının 32-34 °C’ye kadar indirildiği ve hedef ısıya ulaştıktan sonra 12-24 saat bu düzeyde tutulmasına terapötik hipotermi denir. Terapötik hipotermi 1940’lardan bu yana uygulanmaktadır. Terapötik hipoterminin amacı, düşük vücut ısısı sağlayarak serebral ödem, konvülziyon aktivitesi, metabolik talebi ve bunlarla ilgili gelişecek komplikasyonları azaltmaktır. Terapötik hipotermi yaşam beklentisi ve hayat kalitesini artırmak için uygulanır. Hastane dışı kardiyak arrestlerde başlangıç ritmin ventriküler fibrilasyon olduğu ve spontan dolaşımın geri döndüğü komatöz hastalarda yapılmalıdır. Burada, akut miyokard enfarktüsü nedeniyle ani kardiyak ölümle sonuçlanan ve 30 dakika süreyle kardiyopulmoner resisütasyon uygulanan ve 6 gün sonra başarılı bir terapötik hipotermi sonrası taburcu edilen 44 yaşında bir hasta sunuyoruz.

In patients with spontaneous circulation after cardiopulmonary resuscitation, therapeutic hypothermia is defined as the reduction of body temperature to 32-34 ° C within the first 4-6 hours for neuroprotective purposes and to be maintained at this level for 12-24 hours after reaching the target temperature. Therapeutic hypothermia has been practiced since the 1940s. The aim of therapeutic hypothermia is to reduce cerebral edema, convulsive activity, metabolic demand and associated complications by providing low body heat. Therapeutic hypothermia is applied to increase life expectancy and quality of life. In out-of-hospital cardiac arrest, should be performed in comatose patients where initial rhythm is ventricular fibrillation and spontaneous circulation is returned. Herein, we present a 44 years old patient who had an aborted sudden cardiac death due to acute myocardial infarction and performing cardiopulmonary resuscitation for 30 minutes and discharged after 6 days with a successful therapeutic hypothermia.

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Primary Language en
Subjects General and Internal Medicine
Journal Section Case report
Authors

Author: Abdullah Özçelik (Primary Author)
Institution: Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Country: Turkey


Author: Yakup Alsancak
Institution: Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Country: Turkey


Author: Ahmet Seyfeddin Gürbüz
Institution: Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Country: Turkey


Author: Abdullah İçli
Institution: Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Country: Turkey


Author: Ahmet Soylu
Institution: Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Country: Turkey


Dates

Publication Date : February 1, 2018

Bibtex @case report { josam363746, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2018}, volume = {2}, pages = {32 - 34}, doi = {10.28982/josam.363746}, title = {A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia}, key = {cite}, author = {Özçelik, Abdullah and Alsancak, Yakup and Gürbüz, Ahmet Seyfeddin and İçli, Abdullah and Soylu, Ahmet} }
APA Özçelik, A , Alsancak, Y , Gürbüz, A , İçli, A , Soylu, A . (2018). A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia . Journal of Surgery and Medicine , 2 (1) , 32-34 . DOI: 10.28982/josam.363746
MLA Özçelik, A , Alsancak, Y , Gürbüz, A , İçli, A , Soylu, A . "A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia" . Journal of Surgery and Medicine 2 (2018 ): 32-34 <http://jsurgmed.com/en/pub/issue/33467/363746>
Chicago Özçelik, A , Alsancak, Y , Gürbüz, A , İçli, A , Soylu, A . "A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia". Journal of Surgery and Medicine 2 (2018 ): 32-34
RIS TY - JOUR T1 - A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia AU - Abdullah Özçelik , Yakup Alsancak , Ahmet Seyfeddin Gürbüz , Abdullah İçli , Ahmet Soylu Y1 - 2018 PY - 2018 N1 - doi: 10.28982/josam.363746 DO - 10.28982/josam.363746 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 32 EP - 34 VL - 2 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.363746 UR - https://doi.org/10.28982/josam.363746 Y2 - 2018 ER -
EndNote %0 Journal of Surgery and Medicine A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia %A Abdullah Özçelik , Yakup Alsancak , Ahmet Seyfeddin Gürbüz , Abdullah İçli , Ahmet Soylu %T A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia %D 2018 %J Journal of Surgery and Medicine %P -2602-2079 %V 2 %N 1 %R doi: 10.28982/josam.363746 %U 10.28982/josam.363746
ISNAD Özçelik, Abdullah , Alsancak, Yakup , Gürbüz, Ahmet Seyfeddin , İçli, Abdullah , Soylu, Ahmet . "A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia". Journal of Surgery and Medicine 2 / 1 (February 2018): 32-34 . https://doi.org/10.28982/josam.363746
AMA Özçelik A , Alsancak Y , Gürbüz A , İçli A , Soylu A . A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia. J Surg Med. 2018; 2(1): 32-34.
Vancouver Özçelik A , Alsancak Y , Gürbüz A , İçli A , Soylu A . A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia. Journal of Surgery and Medicine. 2018; 2(1): 32-34.