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  • 1 Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szeged, Semmelweis u. 6., 6725
  • 2 Semmelweis Egyetem, Általános Orvostudományi Kar, Budapest
Open access

Absztrakt:

A kórházon kívüli hirtelen szívhalál a világ fejlett országaiban jelenleg is nagy kihívást jelent. Erőfeszítéseink elsősorban az ellátás prehospitális szakaszára irányulnak, hiszen az itt nyújtott segítség előnyeit utóbb már semmi sem pótolhatja. Igyekszünk felvilágosító munkával növelni a laikus újraélesztés arányát, növelni a közterületi automata defibrillátorok számát, megkönnyíteni azok elérhetőségét. Az utóbbi időben a kórházi fázisban történő ellátás jelentőségét is egyre inkább felismerjük. A postresuscitatiós ellátásban a hőmérsékletkontroll mellett az egyik legfontosabb kulcspont a korai koronarográfia, illetve szükség esetén a katéteres intervenció. A primer koronarográfia és intervenció indikációja egyértelmű azon betegeknél, akiknek az újraélesztés után készült EKG-felvételén ST-eleváció látható. Számukra közvetlen utat kell biztosítani a katéteres laboratóriumok felé. A nem ST-elevációs alcsoport optimális ellátása még tisztázásra vár. Tény, hogy közülük is minden harmadiknál, negyediknél számíthatunk okkluzív epicardialis koszorúér-betegségre, ennél az alcsoportnál azonban még nem bizonyított, hogy a közvetlen út a katéteres laboratóriumba milyen módon befolyásolja a későbbi kilátásokat. Jelenleg számos tanulmány folyik a témában, összefoglalónkban ezeket a forrongó kérdéseket mutatjuk be. Orv Hetil. 2019; 160(46): 1826–1831.

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