A forgotten approach after cardiac arrest due to acute myocardial ınfarction: Neuroprotective therapeutic hypothermia

Abdullah Özçelik; Yakup Alsancak; Ahmet Seyfeddin Gürbüz; Abdullah İçli; Ahmet Soylu

doi:10.28982/josam.363746

Authors

Abdullah Özçelik Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Yakup Alsancak Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Ahmet Seyfeddin Gürbüz Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Abdullah İçli Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology
Ahmet Soylu Necmettin Erbakan University, Meram Medicine Faculty Hospital, Division of Cardiology

DOI:

https://doi.org/10.28982/josam.363746

Keywords:

Cardiac arrest, therapeutic hypothermia, external cooling

Abstract

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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