Source:http://linkedlifedata.com/resource/pubmed/id/11535487
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
2001-9-5
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pubmed:abstractText |
Ventricular fibrillation (VF) remains the most common cardiac arrest heart rhythm. Defibrillation is the primary treatment and is very effective if delivered early within a few minutes of onset of VF. However, successful treatment of VF becomes increasingly more difficult when the duration of VF exceeds 4 minutes. Classically, successful cardiac arrest resuscitation has been thought of as simply achieving restoration of spontaneous circulation (ROSC). However, this traditional approach fails to consider the high early post-cardiac arrest mortality and morbidity and ignores the reperfusion injuries, which are manifest in the heart and brain. More recently, resuscitation from cardiac arrest has been divided into two phases; phase I, achieving ROSC, and phase II, treatment of reperfusion injury. The focus in both phases of resuscitation remains the heart and brain, as prolonged VF remains primarily a two-organ disease. These two organs are most sensitive to oxygen and substrate deprivation and account for the vast majority of early post-resuscitation mortality and morbidity. This review focuses first on the initial resuscitation (achieving ROSC) and then on the reperfusion issues affecting the heart and brain.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1069-6563
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
909-24
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:11535487-Animals,
pubmed-meshheading:11535487-Electric Countershock,
pubmed-meshheading:11535487-Humans,
pubmed-meshheading:11535487-Myocardium,
pubmed-meshheading:11535487-Reperfusion Injury,
pubmed-meshheading:11535487-Resuscitation,
pubmed-meshheading:11535487-Ventricular Fibrillation
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pubmed:year |
2001
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pubmed:articleTitle |
Bench to bedside: resuscitation from prolonged ventricular fibrillation.
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pubmed:affiliation |
Department of Emergency Medicine, Ohio State University, Columbus, OH 43210-1270, USA. angelos.1@osu.edu
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pubmed:publicationType |
Journal Article,
Review
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