I t is a truth universally acknowledged that an agency in possession of funds must be in need of a worthy cause. In this issue of JAHA, Coute et al review the funding record of the National Institutes of Health (NIH), the largest funder of biomedical research in the world, to assess its investment in cardiac arrest research. These authors used a very systematic and replicable strategy to sort g...

Herein, we present a case of aortic dissection with right carotid artery occlusion that was treated successfully thrombus evacuation from the false lumen occluded during hemiarch replacement. This procedure is performed two maneuvers: aggressive retrieval innominate circulatory arrest and common through right-neck incision heart beating. In this alternative method, thrombi can be evacuated more...

some otolaryngologists administer topical phenylephrine for bleeding control in adenoidectomy surgery. absorption of this drug from surgical site can lead to increase in blood pressure due to vasoconstriction and then bradycardia related to baroreceptore reflex.  our case was an intraoperative arrest of a 9-yrs-old girl related to administration of topical phenylephrine during adenoidectomy how...

BACKGROUND Some infants with congenital heart disease are at risk of in-hospital cardiac arrest. To better foresee cardiac arrest in infants with congenital heart disease, it might be useful to continuously assess end-organ perfusion. Near-infrared spectroscopy is a non-invasive method to continuously assess multisite regional tissue oxygen saturation. CASE PRESENTATION We report on two infan...

BACKGROUND ACE inhibitor therapy reduces the risk of cardiovascular death, myocardial infarction, stroke, hospitalization for heart failure, and need for revascularization in high-risk patients with clinical heart failure, overt left ventricular systolic dysfunction, or vascular disease. In patients with clinical heart failure or overt left ventricular systolic dysfunction, ACE inhibitor therap...

To define the mechanisms of unexpected cardiac arrest in advanced heart failure, we reviewed the causes of cardiac arrest as established from electrocardiographic monitoring and from clinical and autopsy data in patients hospitalized for cardiac transplantation evaluation and management of advanced heart failure (mean left ventricular ejection fraction, 0.18 +/- 0.08) who were stable while on v...

BACKGROUND The exact survival rates and markers of survival after postoperative cardiac arrest in children with congenital heart abnormalities are unknown. METHODS In this one-year study, we identified children younger than seven years of age with postoperative cardiac arrest in our pediatric cardiac intensive care unit database. Parameters from perioperative, pre-arrest, and resuscitation pe...

Introduction Most cases of sudden cardiac arrest (SCA) and death (SCD) are caused by ventricular tachyarrhythmias, with most these associated structural heart disease, particularly coronary disease. SCA is an uncommon occurrence in the apparently normal accounts for only 5 to 10 percent total cases. […] Adding Exercise Test as a Tool Medical Decision-Making Process Brugada Syndrome

Malformations of the heart are the result of an arrest or defective development at some specific point. These developmental errors may be due to defective genes or to abnormalities in the environment. German measles during early pregnancy is associated with a high incidence of congenital cataracts and congenital heart anomalies. Since malformations of the heart result from localized arrest in d...

INTRODUCTION Victims of severe hypothermia and cardiac arrest may appear dead. They are often unresponsive to on-scene resuscitation including defibrillation while profoundly hypothermic. Several cases of extreme hypothermia and prolonged cardiac arrest with good outcome have been published. We present a case of heart rate monitored (by pulse-watch) hypothermia, prolonged cardiac arrest and sur...