Cognitive and Functional Consequence of Cardiac Arrest

Claudia A. Perez, Niyatee Samudra, Venkatesh Aiyagari

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

Cardiac arrest is associated with high morbidity and mortality. Better-quality bystander cardiopulmonary resuscitation training, cardiocerebral resuscitation principles, and intensive post-resuscitation hospital care have improved survival. However, cognitive and functional impairment after cardiac arrest remain areas of concern. Research focus has shifted beyond prognostication in the immediate post-arrest period to identification of mechanisms for long-term brain injury and implementation of promising protocols to reduce neuronal injury. These include therapeutic temperature management (TTM), as well as pharmacologic and psychological interventions which also improve overall neurological function. Comprehensive assessment of cognitive function post-arrest is hampered by heterogeneous measures among studies. However, the domains of attention, long-term memory, spatial memory, and executive function appear to be affected. As more patients survive cardiac arrest for longer periods of time, there needs to be a greater focus on interventions that can enhance cognitive and psychosocial function post-arrest.

Original languageEnglish (US)
Article number70
JournalCurrent Neurology and Neuroscience Reports
Volume16
Issue number8
DOIs
StatePublished - Aug 1 2016

Keywords

  • Cardiac arrest
  • Cognitive Function
  • Dementia
  • Hypoxic brain injury
  • Out of hospital cardiac arrest

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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