Therapeutic hypothermia for acute myocardial infarction: past, present, and future

Crit Care Med. 2009 Jul;37(7 Suppl):S234-7. doi: 10.1097/CCM.0b013e3181ab311d.

Abstract

Therapeutic hypothermia has been shown in randomized clinical trials to improve neurologic outcomes following cardiac arrest. Whether therapeutic hypothermia improves important outcomes after acute myocardial infarction is an area of active research. Here we review recent experimental and clinical data that examine whether therapeutic hypothermia can improve functional outcomes or mortality rate in acute myocardial infarction. We conclude that the available clinical evidence does not support therapeutic hypothermia as standard therapy for acute myocardial infarction.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cardiopulmonary Resuscitation / methods
  • Critical Care / methods*
  • Disease Models, Animal
  • Electrocardiography
  • Evidence-Based Medicine
  • Feasibility Studies
  • Forecasting
  • Humans
  • Hypothermia, Induced / adverse effects
  • Hypothermia, Induced / methods*
  • Hypothermia, Induced / trends
  • Myocardial Infarction / complications
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / mortality
  • Myocardial Infarction / therapy*
  • Practice Guidelines as Topic
  • Randomized Controlled Trials as Topic
  • Reperfusion Injury / etiology
  • Research Design
  • Retrospective Studies
  • Thrombolytic Therapy
  • Treatment Outcome