Heart Arrest, Hypothermia, Post Cardiac Arrest Syndrome
Conditions
Brief summary
To evaluate the significance of free-plasma deoxyribonucleic acid (DNA) and plasma histones in cardiac arrest patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Out of hospital cardiac arrest of presumed cardiac cause * Return of spontaneous circulation (ROSC) * Glasgow Coma Score \< 8 * Age \> 18 years and \< 80 years
Exclusion criteria
* \>60 minutes from the circulatory collapse to ROSC * Time interval \> 4 hours from cardiac arrest to initiation of targeted temperature management * Terminal illness * Coagulation disorder * Unwitnessed asystolia * Cerebral performance category 3-4 before the cardiac arrest * Severe persistent cardiogenic shock * Pregnancy * Persistent cardiogenic shock (systolic blood pressure \< 80 despite inotropic treatment) * New apoplexy or intracerebral hemorrhage * Lack of consent from the relatives * Lack of consent from the general practitioner * Lack of consent from the patient if he/she wakes up and is relevant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Plasma histones | Approximate 24 hours after cardiac arrest | The level of plasma histones |
| Free-plasma DNA | Approximate 24 hours after cardiac arrest | The level of total free-plasma DNA |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plasma histones | Approximate 48 hours and 72 hours after cardiac arrest | The level of plasma histones |
| Free-plasma DNA | Approximate 48 hours and 72 hours after cardiac arrest | The level of total free plasma DNA |
Other
| Measure | Time frame |
|---|---|
| Simplified Acute Physiology Score (SAPS) score | Approximate 24 hours, 48 hours and 72 hours after cardiac arrest |
| Platelet count | Approximate 24 hours, 48 hours and 72 hours after cardiac arrest |
Countries
Denmark