Study Shows Interesting Results on Mild Hypothermia Treatment for Comatose Survivors

Mild hypothermia is standard of care for comatose survivors after cardiac arrest.  Now there is new evidence that survivors of PEA arrest do better neurologically compared with survivors of VF/VT arrests.  A retrospective, single-center study shows comatose survivors with shockable rhythms have better outcomes after mild hypothermia treatment than those with nonshockable rhythms.

Mild therapeutic hypothermia is a recommended option for comatose survivors of cardiac arrest, regardless of presenting rhythm. University of Michigan researchers reviewed charts from 123 consecutive adults with out-of-hospital cardiac arrest treated with therapeutic hypothermia over a 6-year period to compare neurologic outcomes between those with shockable and nonshockable initial rhythms.

More patients with shockable than nonshockable rhythms had favorable neurological outcomes (Cerebral Performance Category 1 or 2) at hospital discharge (42% vs. 5%) and at follow-up (range, 6 to 12 months; 48% vs. 7%).


Terman SW et al. Impact of presenting rhythm on short- and long-term neurologic outcome in comatose survivors of cardiac arrest treated with therapeutic hypothermia. Crit Care Med 2014 Jul 10; [e-pub ahead of print]. Link.


cardiac arrest , comatose survivors , hypothermia , shockable vs. nonshockable rhythms

Read all articles in Cardiovascular diseases, Medical General, medical procedures, Paracentesis
Tags: cardiac arrest, comatose, HPC updates, hypothermia, mild hypothermia treatment, shockable rhythms

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