Saínz CH

Language: Spanish
References: 14
Page: 51-55
PDF size: 211.16 Kb.

ABSTRACT

Cardiac arrest, as a form sudden death, shows a worldwide annual incidence of 0.55 per 1.000 inhabitants. This figure leads us to estimate that the incidence in Cuba should be about four thousand sudden deaths per year. At the Institute of Cardiology and Cardiovascular Surgery, the initial resuscitation or the successful resumption of cardiocirculatory activity ranges from 27-50 %, and the discharges of live patients with mild sequelae or without sequelae do not exceed 9 %. The fundamental cause of this marked difference is the severity of the heart disease that causes the cardiac arrest and the sequelae by cerebral anoxia, caused by the duration of the arrest plus the resuscitation time. Mild hypothermia (32-34 °C), for therapeutic purposes, has emerged as an effective strategy to reduce brain damage after cardiac arrest and increases the chance of good neurological recovery by 1.7 times. This paper discusses the pathophysiological mechanisms and reports a clinical case that was treated successfully.

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