Reference : Late heartbeat-evoked potentials are associated with survival after cardiac arrest |
Scientific journals : Article | |||
Human health sciences : Anesthesia & intensive care | |||
http://hdl.handle.net/10993/34594 | |||
Late heartbeat-evoked potentials are associated with survival after cardiac arrest | |
English | |
Schulz, André ![]() | |
Stammet, P. [] | |
Dierolf, Angelika ![]() | |
Vögele, Claus ![]() | |
Beyenburg, S. [] | |
Werer, C. [] | |
Devaux, Y. [] | |
May-2018 | |
Resuscitation | |
Elsevier North Holland Biomedical Press | |
126 | |
1 | |
7-13 | |
Yes (verified by ORBilu) | |
International | |
0300-9572 | |
Limerick | |
Ireland | |
[en] RATIONALE: Cardiac arrest (CA) is a serious condition
characterized by high mortality rates, even after initial successful resuscitation, mainly due to neurological damage. Whether brain-heart communication is associated with outcome after CA is unknown. Heartbeat-evoked brain potentials (HEPs) represent neurophysiological indicators of brain-heart communication. The aim of this study was to address the association between HEPs and survival after CA. METHODS: HEPs were calculated from resting EEG/ECG in 55 CA patients 24 hours after resuscitation. All patients were treated with targeted temperature management and a standardized sedation protocol during assessment. We investigated the association between HEP amplitude (180- 320 ms, 455-595 ms, 860-1000 ms) and 6-month survival. RESULTS: Twenty-five of 55 patients (45%) were still alive at 6-month follow-up. Survivors showed a higher HEP amplitude at frontopolar and frontal electrodes in the late HEP interval than non-survivors. This effect remained significant after controlling for between-group differences in terms of age, Fentanyl dose, and time lag between resuscitation and EEG assessment. There were no group differences in heart rate or heart rate variability. CONCLUSION: Brain-heart communication, as reflected by HEPs, is associated with survival after CA. Future studies should address the brain-heart axis in CA. | |
http://hdl.handle.net/10993/34594 | |
10.1016/j.resuscitation.2018.02.009 |
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