What are the major revisions in in the 2015 AHA guidelines for post-cardiac-arrest care?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

The key issues and major changes in the 2015 AHA guidelines update for post–cardiac-arrest care include the following [43] :

  • Emergency coronary angiography is recommended for all patients with ST elevation and for hemodynamically or electrically unstable patients without ST elevation in whom a cardiovascular lesion is suspected; the decision to perform revascularization should not be affected by the patient’s neurological status, which can change
  • Targeted temperature management (TTM) with a range of acceptable temperatures from 32-36˚C is recommended (at least for the first 24 h).
  • Identification and correction of hypotension is recommended in the immediate post–cardiac-arrest period
  • Prognostication no sooner than 72 hours after the completion of TTM

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