Postresuscitation Myocardial Dysfunction

  • H. Yamaguchi
  • M. H. Weil
Conference paper


The ultimate goal of cardiopulmonary resuscitation (CPR) for the nearly 500,000 victims of sudden death in the United States is to return the victims to long-term and functional survival. Yet of the approximately 39% of victims who are initially resuscitated successfully, as few as 3% represent hospital survivors [1, 2]. This large fall off in survival reflects what we now recognize as two discrete stages of cardiac resuscitation. The first stage is that of initial resuscitation with re-establishment of a spontaneous circulation. The second is the management of postresuscitation arrhythmias and myocardial failure including a high incidence of recurrent cardiac arrest. We suggest the term postresuscitation myocardial dysfunction for this second stage [3]. These two discrete stages of cardiac resuscitation may therefore call for two distinct therapeutic goals. The first is to restore spontaneous circulation. The second is to secure the effective pumping function of the heart and especially the moderation of dysrhythmic events and myocardial failure.


Cardiac Arrest Ventricular Fibrillation Myocardial Dysfunction Stroke Volume Index Spontaneous Circulation 


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Copyright information

© Springer-Verlag Italia 1999

Authors and Affiliations

  • H. Yamaguchi
    • 1
  • M. H. Weil
    • 1
    • 2
  1. 1.Institute of Critical Care MedicinePalm SpringsUSA
  2. 2.The University of Southern California School of MedicineLos AngelesUSA

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