Cardiac Arrest, Hypothermia
Conditions
Keywords
sudden cardiac arrest, Hypothermia, Coolgard, arctic sun, neurological outcome, neuron specific enolase
Brief summary
Sudden cardiac death remains one of the major leading causes of death. Therapeutic hypothermia is a validated standard procedure to avoid or minimize cognitive deficits after cardiac arrest. To assess the efficiency of different cooling methods and further improve these methods, the investigators collected blood samples to measure the neuron specific enolase (NSE) in patients treated with invasive cooling as compared to patients treated with non-invasive cooling.
Detailed description
Consecutive patients with restoration of spontaneous circulation after resuscitation due to sudden cardiac death were randomized to either non-invasive or invasive cooling for at least 24 hours. NSE was collected at designated time points and compared between patients treated with invasive cooling and those treated with non-invasive cooling. Neurological outcome was assessed between groups at hospital discharge and 6 months after discharge.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* ROSC after sudden cardiac death (SCA) due to VF/VT or PEA/Asystolia * GCS 3
Exclusion criteria
* Non-cardiac sudden death * Pregnancy * Unstable circulation with high-dose inotropics * Life-expectancy reducing concomitant illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| neuron specific enolase (NSE) as a parameter for cerebral damage | 72 hours | Blood samples were collected at predefined time-points within 72 hours to measure neuron specific enolase. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| neurologic outcome | 6 months | At 6 months after cardiac arrest, the cerebral performance category score is assessed to determine neurologic outcome. |
| time to overall survival | one year | At one year after cardiac arrest, overall survival of the cardiac arrest patients is assessed. |
Countries
Germany