The Heart Team approach to cardiac arrest
Cardiac arrest is a critical emergency in cardiovascular medicine, requiring rapid, multidisciplinary interventions to enhance patient survival and neurological outcomes. This review explores the unique challenges of managing out-of-hospital (OHCA) and in-hospital cardiac arrest (IHCA), with a focus on mechanical circulatory support (MCS) and extracorporeal cardiopulmonary resuscitation for selected patients. While OHCA management should prioritize rapid transport to specialized centres, IHCA may allow for immediate, patient-tailored interventions. Post-cardiac arrest syndrome adds complexity, often requiring nuanced MCS escalation and weaning. Standardized protocols, ethical considerations, and further research are essential to refine patient selection and improve outcomes, ultimately advancing cardiac arrest care.
Authors
- Andrea Montisci (ORCID: https://orcid.org/0000-0003-3150-399X)
- Kaveh Eghbalzadeh (ORCID: https://orcid.org/0000-0001-6941-7785)
- Nicoletta D’Ettore (ORCID: https://orcid.org/0000-0002-0240-7395)
- Federico Pappalardo (ORCID: https://orcid.org/0000-0001-9129-833X)
- Benedikt Schrage (ORCID: https://orcid.org/0000-0001-9041-3922)
- Guido Tavazzi (ORCID: https://orcid.org/0000-0002-9560-5138)
- Janine Pöss (ORCID: https://orcid.org/0009-0004-2177-3085)
- Sascha Ott (ORCID: https://orcid.org/0000-0003-1475-2046)
- Bastian Schmack (ORCID: https://orcid.org/0009-0001-5594-0580)
- Tharusan Thevathasan (ORCID: https://orcid.org/0000-0003-4698-4079)
Institutions
- Cleveland Clinic (US)
- Outcomes Research Consortium (US)
- University of Pavia (IT)
- University Hospital Bonn (DE)
- Medizinische Hochschule Hannover (DE)
- Humboldt-Universität zu Berlin (DE)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
- Deutsches Herzzentrum der Charité (DE)
- Ospedale San Giacomo Apostolo (IT)
- Leipzig Heart Institute (DE)
- German Centre for Cardiovascular Research (DE)
- Policlinico Universitario di Catania (IT)
- Berlin Institute of Health at Charité - Universitätsmedizin Berlin (DE)
- Policlinico San Matteo Fondazione (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Freie Universität Berlin (DE)
- Charité - Universitätsmedizin Berlin (DE)
Publication Details
- Journal
- European Heart Journal Supplements
- Published
- 2025-02-04
- DOI
- https://doi.org/10.1093/eurheartjsupp/suae122
- Citations
- 2
- Primary Topic
- Cardiac Arrest and Resuscitation
- Type
- article
- Field-Weighted Citation Impact
- 4.51
Funders
- AstraZeneca
- Abiomed
- Deutsche Stiftung für Herzforschung
- Deutsche Gesellschaft für Kardiologie-Herz und Kreislaufforschung.
- Dr. Rolf M. Schwiete Stiftung