Cardiac Arrest and Neurologic Recovery: Insights from the Case of Mr. Damar Hamlin.
Romergryko G GeocadinSachin AgarwalAdeline L GossClifton W CallawayMegan B RichiePublished in: Annals of neurology (2023)
The association between brain injury after cardiac arrest and poor survival outcomes has led to longstanding pessimism. However, the publicly witnessed cardiac arrest, resuscitation, and acute management of Mr. Damar Hamlin and his favorable neurologic recovery provides some optimism. Mr. Hamlin's case highlights the neurologic advances of the last 2 decades and presents the opportunity to improve outcomes for all cardiac arrest patients in key areas: (1) effectively implementing the American Heart Association "Chain of Survival" to prevent initial brain injury and promote neuroprotection; (2) revisiting the process of neurologic prognostication and re-defining the brain recovery during the early periods, and (3) incorporating neurorehabilitation into existing cardiac rehabilitation models to support holistic recovery. ANN NEUROL 2023.
Keyphrases
- cardiac arrest
- brain injury
- cardiopulmonary resuscitation
- subarachnoid hemorrhage
- cerebral ischemia
- end stage renal disease
- contrast enhanced
- magnetic resonance
- chronic kidney disease
- liver failure
- heart failure
- ejection fraction
- type diabetes
- white matter
- metabolic syndrome
- peritoneal dialysis
- computed tomography
- resting state
- adipose tissue
- hepatitis b virus
- extracorporeal membrane oxygenation