作者: Charles M. Little , Mia H. Marietta , Kathleen Peng , Kennon Heard , Miguel Fragoso
DOI: 10.1016/J.AJEM.2006.05.002
关键词:
摘要: Cardiac arrest remains an important entity in the clinical field. In United States, annually there are about 450,000 sudden cardiac deaths prehospital or ED setting [1]. Current survival rates 5% to 10% of cases, as reported a recent European multicenter trial [2]. The presenting rhythm has changed over last decade. incidence primary ventricular fibrillation (VF) is decreasing and pulseless electrical activity (PEA) increasing [3]. widespread introduction automated external defibrillators lay can be expected increase postcounter shock PEA. Pulseless worse prognosis than VF Epinephrine currently recommended medical therapy for PEA [4]. increases coronary perfusion pressure (CoPP) myocardial perfusion.