Neurologic aspects of cardiac emergencies

Lauren Ng; Jing Wang; Laith Altaweel; M Kamran Athar

doi:10.1016/j.ccc.2014.03.002

Neurologic aspects of cardiac emergencies

Crit Care Clin. 2014 Jul;30(3):557-84. doi: 10.1016/j.ccc.2014.03.002.

Authors

Lauren Ng¹, Jing Wang², Laith Altaweel³, M Kamran Athar⁴

Affiliations

¹ Division of Critical Care and Neurotrauma and Cerebrovascular Diseases, Department of Neurology, Thomas Jefferson University, 901 Walnut Street, 4th Floor, Philadelphia, PA 19107, USA; Division of Critical Care and Neurotrauma, Department of Neurological Surgery, Thomas Jefferson University, 901 Walnut Street, 3rd Floor, Philadelphia, PA 19107, USA.
² Department of Medicine, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042, USA.
³ Neuroscience Intensive Care, Department of Medicine, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042, USA.
⁴ Division of Critical Care and Neurotrauma, Department of Neurological Surgery, Thomas Jefferson University, 901 Walnut Street, 3rd Floor, Philadelphia, PA 19107, USA; Department of Medicine, Jefferson College of Medicine, Thomas Jefferson University, 1025 Walnut Street, Philadelphia, PA 19107, USA. Electronic address: [email protected].

PMID: 24996609
DOI: 10.1016/j.ccc.2014.03.002

Abstract

In this review, cardiac arrest is discussed, with a focus on neuroprognostication and the emerging data, with regard to identifying more accurate predictors of neurologic outcomes in the era of therapeutic hypothermia. Topics discussed include recent controversies with regard to targeted temperature management in comatose survivors of cardiac arrest; neurologic complications associated with surgical disease and procedures, namely aortic dissection, infective endocarditis, left ventricular assist devices, and coronary artery bypass grafting; and the cause, pathogenesis, and management of neurogenic stunned myocardium.

Keywords: Acute brain injury; Cardiac emergencies; Neurologic complications; Stroke.

Publication types

Review

MeSH terms

Brain Injuries / etiology*
Brain Injuries / therapy*
Emergency Medical Services / methods
Heart Arrest / complications*
Heart Arrest / diagnosis
Heart Arrest / therapy*
Humans
Nervous System Diseases / etiology*
Nervous System Diseases / therapy*
Practice Guidelines as Topic
Risk Factors