Post-conditioning to improve cardiopulmonary resuscitation

Jason A. Bartos, Guillaume Debaty, Timothy Matsuura, Demetris Yannopoulos

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Purpose of Review: Despite decades of advances in prehospital and in-hospital medical care, patients with out-of-hospital cardiac arrest continue to have poor neurologic and cardiac function following otherwise successful resuscitation. This review examines the mechanisms and therapeutic strategies currently under development to activate the post-conditioning pathways and thereby improve survival and function. Recent Findings: Post-conditioning utilizes the reperfusion injury salvage kinase (RISK) and survivor activating factor enhancement (SAFE) pathways as common avenues to promote cell survival and function. Ischemic post-conditioning and multiple medications activate these pathways resulting in improved cardiac and neurological function in animal models of cardiac arrest. Summary: Detailed knowledge of the RISK and SAFE pathways can be used for further drug development. Human studies are now underway to test some of these strategies, but further clinical trials are necessary to translate these therapies to clinical practice.

Original languageEnglish (US)
Pages (from-to)242-249
Number of pages8
JournalCurrent opinion in critical care
Volume20
Issue number3
DOIs
StatePublished - Jun 2014

Keywords

  • RISK pathway
  • SAFE pathway
  • cardiac arrest
  • cardiopulmonary resuscitation
  • post-conditioning
  • reperfusion injury

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