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El empleo de hipotermia en pacientes post parada cardiaca: beneficios

The use of hypothermia in post-cardiac arrest patients: benefits




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Artículos de Investigación

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Bello Cordero, J., Salazar Martínez, D. O., Gipis Saavedra, A. J., Llerena Velasteguí, J. G., Cárdenas Coronado, W. R., Caicedo Sánchez, D. C., Betancourt Montero, M. A., & Rojas Avila, C. J. (2022). El empleo de hipotermia en pacientes post parada cardiaca: beneficios. Archivos De Medicina, 22(2). https://doi.org/10.30554/archmed.22.2.4546.2022
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Bello Cordero, J., Salazar Martínez, D. O., Gipis Saavedra, A. J., Llerena Velasteguí, J. G., Cárdenas Coronado, W. R., Caicedo Sánchez, D. C., Betancourt Montero, M. A., & Rojas Avila, C. J. (2022). El empleo de hipotermia en pacientes post parada cardiaca: beneficios. Archivos De Medicina, 22(2). https://doi.org/10.30554/archmed.22.2.4546.2022

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Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

Jhon Bello Cordero
Diego Orlando Salazar Martínez
Antonio Jose Gipis Saavedra
Jordan Gonzalo Llerena Velasteguí
William Ricardo Cárdenas Coronado
Diana Carolina Caicedo Sánchez
Miguel Angel Betancourt Montero
Cristian Jhoan Rojas Avila

Jhon Bello Cordero,

x


Diego Orlando Salazar Martínez,

x


Antonio Jose Gipis Saavedra,

x


Jordan Gonzalo Llerena Velasteguí,

x


William Ricardo Cárdenas Coronado,

x


Diana Carolina Caicedo Sánchez,

x


Miguel Angel Betancourt Montero,

x


Cristian Jhoan Rojas Avila,

x


Antecedentes: La enfermedad cardíaca es la principal causa de muerte en los Estados Unidos. Los ataques cardíacos (también conocidos como infartos de miocardio) ocurren cuando una parte del músculo cardíaco no recibe un flujo sanguíneo adecuado. La intervención temprana es fundamental para prevenir la mortalidad. La Hipotermia Terapéutica tiene efectos neuro protectores comprobados en la isquemia cerebral global.

Metodología: Se realizó una revisión narrativa a través de diversas bases de datos de Enero de 2014 a Febrero de 2022; la búsqueda y selección de artículos fue llevada a cabo en revistas indexadas en idioma inglés. Se utilizaron como palabras clave: Hipotermia, parada cardiaca, beneficios.

Resultados: Uno de los problemas que se enfrenta ante una parada cardiorrespiratoria, es el posible daño cerebral hipoxico-isquemico. Los pacientes que se sometieron a hipotermia a 33ºC presentan una mayor supervivencia y un mejor resultado neurológico. La fiebre es uno de los síntomas que se podría presentar en pacientes que entran en un paro cardiaco, provocando daños sistémicos y locales.

Conclusiones: La presente revisión ofrece información actualizada y detallada sobre los efectos terapéuticos de la hipotermia, al igual que brinda información de los posibles efectos al no aplicarla y al aplicarla.

Palabras claves: Hipotermia, parada cardiaca, beneficios.


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  1. Xu J, Murphy SL, Kochanek KD, Arias E. Mortality in the United States, 2015. NCHS data brief, no. 267. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2016.
  2. Benjamin EJ, Blaha MJ, Chiuve SE, et al.; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation 2017;135:e146–603. 10.1161/CIR.0000000000000485.
  3. Patel A, Fang J, Gillespie C, Odom E, Luncheon C, Ayala C. Awareness of heart attack signs and symptoms and calling 9-1-1 among U.S. adults. J Am Coll Cardiol 2018;71:808–9. 10.1016/j.jacc.2017.10.104.
  4. National Center for Health Statistics. National Health Interview Survey, survey description, 2015. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2016.
  5. Healthy People 2020. Increase the proportion of adults aged 20 years and older who are aware of the early warning symptoms and signs of a heart attack. Atlanta, GA: US Department of Health and Human Services, CDC; 2014.
  6. Apple FS, Sandoval Y, Jaffe AS, Ordonez-Llanos J., IFCC Task Force on Clinical Applications of Cardiac Bio-Markers. Cardiac Troponin Assays: Guide to Understanding Analytical Characteristics and Their Impact on Clinical Care. Clin Chem. 2017 Jan;63(1):73-81.
  7. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, Chiuve SE, Cushman M, Delling FN, Deo R, de Ferranti SD, Ferguson JF, Fornage M. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation. 2018 Mar 20;137(12):e67-e492.
  8. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD, Mickley H, Crea F, Van de Werf F, Bucciarelli-Ducci C, Katus HA, Pinto FJ, Antman EM, Hamm CW, De Caterina R, Januzzi JL, Apple FS, Alonso Garcia MA, Underwood SR, Canty JM, Lyon AR, Devereaux PJ, Zamorano JL, Lindahl B, Weintraub WS, Newby LK, Virmani R, Vranckx P, Cutlip D, Gibbons RJ, Smith SC, Atar D, Luepker RV, Robertson RM, Bonow RO, Steg PG, O'Gara PT, Fox KAA. [Fourth universal definition of myocardial infarction (2018)]. Kardiol Pol. 2018;76(10):1383-1415.
  9. S. Ying, Z. Zi, F. Bin, L. Guang. Neuroprotection by Therapeutic Hypothermia. Front Neurosci. 2019; 13: 586. doi: 10.3389/fnins.2019.00586
  10. D. Josef, C. Tobias, L. Gisela. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. The new england journal of medicine. Jun 17. 2021. 384:2283-2294 DOI: 10.1056/NEJMoa2100591
  11. N. Chris. Therapeutic hypothermia after cardiac arrest. Life in the Fastlane. Nov 3, 2020
  12. B. Olivares, M. Rivadeneira, T. Seoane. Therapeutic hypothermia after resuscitated cardiac arrest: benefits in survival and neurological outcome. European Heart Journal, Volume 42, Issue Supplement_1, October 2021, ehab724.1550, https://doi.org/10.1093/eurheartj/ehab724.1550
  13. J. Baptiste, M. Ferhat, Therapeutic hypothermia after nonshockable cardiac arrest: the HYPERION multicenter, randomized, controlled, assessor-blinded, superiority trial. BMC, Part of springer nature. March 7 2015.
  14. H. Siew, C. Enoch, C. Benjamin, Therapeutic temperature management (TTM): post-resuscitation care for adult cardiac arrest, with recommendations from the National TTM Workgroup. Singapore Med J 2017; 58(7): 408-410 doi: 10.11622/smedj.2017067
  15. P. Alexander, M. Sarah, The evolution of hypothermia for neuroprotection after cardiac arrest: a history in the making. New york academy of sciences. 1507 (2022). doi: 10.1111/nyas.14676.
  16. L. Aldo. C. Aaron, P. Gabriel. Therapeutic hypothermia after cardiac arrest: A systematic review/meta-analysis exploring the impact of expanded criteria and targeted temperature. Resuscitation. 2016 Nov;108:102-110. doi: 10.1016/j.resuscitation.2016.07.238
  17. B. Jiri, A. David, V. Jiri, H. Jakub, V. Josef. History and current use of mild therapeutic hypothermia after cardiac arrest. Arch Med Sci. 2016 Oct 1; 12(5): 1135–1141. doi: 10.5114/aoms.2016.61917
  18. J. Edward, H. Sameer, C. Mike, F. Lui. The pathophysiological basis and consequences of fever. Crit Care. 2016; 20: 200. doi: 10.1186/s13054-016-1375-5
  19. J. Edward, C. Mike, The neurological and cognitive consequences of hyperthermia. Crit Care. 2016; 20: 199. doi: 10.1186/s13054-016-1376-4
  20. Angilletta MJ, Youngblood JP, Neel LK, VandenBrooks JM. The neuroscience of adaptive thermoregulation. Neurosci Lett. 2019 Jan 23;692:127-136.
  21. Cavaillon JM. Exotoxins and endotoxins: Inducers of inflammatory cytokines. Toxicon. 2018 Jul;149:45-53.
  22. Prajitha N, Athira SS, Mohanan PV. Pyrogens, a polypeptide produces fever by metabolic changes in hypothalamus: Mechanisms and detections. Immunol Lett. 2018 Dec;204:38-46.
  23. M. Martik, S. Paiullah, R. Manimala. Severe Hypothermia Causing Ventricular Arrhythmia in Organophosphorus Poisoning. Indian J Crit Care Med. 2017 Feb; 21(2): 99–101.doi: 10.4103/ijccm.IJCCM_443_16
  24. S. Pablo, L. Esteban, P. Laura. Electrocardiographic changes during induced therapeutic hypothermia in comatose survivors after cardiac arrest. World J Cardiol. 2015 Jul 26; 7(7): 423–430. doi: 10.4330/wjc.v7.i7.423
  25. S. Theis, E. Maria, B. Morten. Induced Hypothermia in Patients with Septic Shock and Ventilator-demanding Respiratory Failure. Open Forum Infect Dis. 2017 Fall; 4(Suppl 1): S30. doi: 10.1093/ofid/ofx162.073
  26. S. Theis, E. Maria, B. Morten, T. Katrin. Induced hypothermia in patients with septic shock and respiratory failure (CASS): a randomised, controlled, open-label trial. Lancet Respir Med. 2018 Mar;6(3):183-192. doi: 10.1016/S2213-2600(18)30004-3. Epub 2018 Jan 8.
  27. G. Marjolein, R. Malcolm, K. Rainer, H. Philip, Therapeutic hypothermia and the risk of infection: a systematic review and meta-analysis. Crit Care Med. 2014 Feb;42(2):231-42. doi: 10.1097/CCM.0b013e3182a276e8.
  28. R. Zoltan, G. Andras. Fever, hypothermia, and mortality in sepsis. Temperature (Austin). 2019; 6(2): 101–103. doi: 10.1080/23328940.2018.1516100
  29. H. Toru, K. Yasuhiro, Y. Susumu. Therapeutic hypothermia in patients with coagulopathy following severe traumatic brain injury. Scand J Trauma Resusc Emerg Med. 2017; 25: 120. doi: 10.1186/s13049-017-0465-y
  30. B. Sarah, B. Marc, V. Damien, P. Mathieu. The impact of hypothermia on serum potassium concentration: A systematic review. Resuscitation. 2017 Sep;118:35-42. doi: 10.1016/j.resuscitation.2017.07.003.
  31. A. Allison, A. megan, M. Paul, E. Kevin. Evaluation of glucose management during therapeutic hypothermia at a Tertiary Academic Medical Center. Resuscitation. 2015 Apr;89:64-9. doi: 10.1016/j.resuscitation.2015.01.002. Epub 2015 Jan 17.
  32. S. Hassan, R. Farzad, S. Saeid, EJ. Samad. Hypothermia After Cardiac Arrest as a Novel Approach to Increase Survival in Cardiopulmonary Cerebral Resuscitation: A Review. Iran Red Crescent Med J. 2014 Jul; 16(7): e17497. doi: 10.5812/ircmj.17497
  33. B. Wulfran, L. Jean, D. Flerence, C. Alain. Targeted temperature management after cardiac arrest: the longer, the better?. J Thorac Dis. 2018 Jan; 10(1): 49–51. doi: 10.21037/jtd.2017.12.13
  34. Vaity C, Al-Subaie N, Cecconi M. Cooling techniques for targeted temperature management post-cardiac arrest. Crit Care. 2015 Mar 16;19:103.
  35. Y. po, W. Ling, C. Yi. Usefulness of Therapeutic Hypothermia to Improve Survival in Out-of-Hospital Cardiac Arrest. Acta Cardiol Sin. 2019 Jul; 35(4): 394–401. doi: 10.6515/ACS.201907_35(4).20190113ª
  36. J. Timothy, H. Brian, E. William. Comparative Effectiveness of Therapeutic Hypothermia After Out-of-Hospital Cardiac Arrest: Insight from a Large Data Registry. Ther Hypothermia Temp Manag. 2014 Mar 1; 4(1): 21–31. doi: 10.1089/ther.2013.0018
  37. K. Admire, J. Matthias, P. Michael. Postcardiac arrest temperature management: infectious risks. Curr Opin Crit Care. 2014 Oct;20(5):507-15. doi: 10.1097/MCC.0000000000000125.
  38. S. Paul, A. Robert, T. Yuanyuan. Association Between Therapeutic Hypothermia and Survival After In-Hospital Cardiac Arrest. JAMA. 2016 Oct 4; 316(13): 1375–1382. doi: 10.1001/jama.2016.14380
  39. K. Francis, E. Paco, N. Graham. What is the Utility of Hypothermia for neuroprotection after OUT-OF-HOSPITAL Cardiac Arrest?. Stroke. 2015 Feb; 46(2): 592–597. doi: 10.1161/STROKEAHA.114.006975
  40. S. Michael, C. Jon, State‐of‐the‐art considerations in post‐arrest care. J Am Coll Emerg Physicians Open. 2020 Apr; 1(2): 107–116. doi: 10.1002/emp2.12022
  41. R. Gautam, Y. Sankalp, G. Nitin. Therapeutic Hypothermia after Prolonged Cardiac Arrest: Case Report with Review of Literature. J Clin Diagn Res. 2015 Sep; 9(9): OD01–OD02. doi: 10.7860/JCDR/2015/14918.6491
  42. B. Sulagna, K. Dalim, M. Souvik. Therapeutic hypothermia after cardiac arrest is not associated with favorable neurological outcome: a meta-analysis. J Clin Anesth. 2016 Sep;33:225-32. doi: 10.1016/j.jclinane.2016.03.001.
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