Cited by 311Cardiac Arrest and ResuscitationCardiac Health and Mental HealthPalliative Care and End-of-Life Issues

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Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association

Sawyer, Kelly N., Camp-Rogers, Teresa R., Kotini-Shah, Pavitra, Del Rios, Marina, Gossip, Michelle R., Moitra, Vivek K., Haywood, Kirstie L., Dougherty, Cynthia M., Lubitz, Steven A., Rabinstein, Alejandro A., Rittenberger, Jon C., Callaway, Clifton W., Abella, Benjamin S., Geocadin, Romergryko G., Kurz, Michael C., On behalf of the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; Council on Quality of Care and Outcomes Research; and Stroke Council·2020·Circulation

DOI 10.1161/cir.0000000000000747

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Abstract

Cardiac arrest systems of care are successfully coordinating community, emergency medical services, and hospital efforts to improve the process of care for patients who have had a cardiac arrest. As a result, the number of people surviving sudden cardiac arrest is increasing. However, physical, cognitive, and emotional effects of surviving cardiac arrest may linger for months or years. Systematic recommendations stop short of addressing partnerships needed to care for patients and caregivers after medical stabilization. This document expands the cardiac arrest resuscitation system of care to include patients, caregivers, and rehabilitative healthcare partnerships, which are central to cardiac arrest survivorship.

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“Although significant progress had achieved on the treatment of cardiac diseases and cardiac arrest, the survival rate of them was still only about 10% to 25%.(2,3) About 18% to 40% of the survivors of cardiac arrest have moderate to severe neurological dysfunction, preventing a return to work and normal daily activiti…”
Background
Correlation of EEG-based brain resuscitation index and end-tidal carbon dioxide in porcine cardiac arrest model
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Functional Status and Health-Related Quality of Life Among Survivors of Cardiogenic Shock
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Nursing Students’ Experiences of Basic Life Support Training and Its Role in Emergency Care Competence
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CPR knowledge among rural grassroots healthcare workers in Xinjiang, China: a cross-sectional analysis
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“Cardiac rehabilitation (CR) has emerged as a critical element in the chain of survival, supporting the transition to life after cardiac arrest (Sawyer et al., 2020).”
Influential
Early prediction of long-term cognitive function, emotional distress, and health-related quality of life in cardiac arrest survivors.
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Myocardial Crypts and Ventricular Fibrillation: Two Case Reports
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“36 37-38 At present, there are no case reports describing a clear link in the literature between the finding of myocardial crypts and increased susceptibility to the onset of ventricular arrhythmias or SCD.”
Neuroprognostication, withdrawal of care and long-term outcomes after cardiopulmonary resuscitation
BAZBAZ, A., & Varón, J. (2024) · Current Opinion in Critical Care · doi:10.1097/mcc.0000000000001194
Navigating Neurologic Illness: Skills in Neuropalliative Care for Persons Hospitalized with Neurologic Disease
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Life After (Near) Death: A personal perspective on improving lives of survivors and their key supporters after sudden cardiac arrest.
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Associations between initial heart rhythms and self-reported health among cardiac arrest survivors - a nationwide registry study.
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Mental Health Services in Postcardiac Arrest Care
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“They, and their caregivers, are left without direction [1].”
Influential
Qualitative research in cardiac arrest research: A narrative review
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Reduced mobility is associated with adverse outcomes after in-hospital cardiac arrest
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“In addition, we must be aware of the sequelae, especially neurological, and important loss of functionality that these patients usually suffer if they survive 6 .”
Background
The Influence of Basic Life Support Education Increases The Knowledge And Atitudes Of The Pemulutan Community
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Background
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Self-citation
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“This recovery and rehabilitation part in postcardiac arrest care is getting more and more emphasis (12).”
Background
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Effects of High-Intensity Interval Training on Cardiopulmonary Function in Patients with Acute Myocardial Infarction with and without Cardiac Arrest: A Retrospective Study
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“14 In addition, concerns regarding arrhythmia risk, hemodynamic instability, impaired myocardial reserve, and exercise safety often limit the implementation of higher-intensity exercise protocols in this subgroup.”
Cardiac Arrest Survivors’ Perspectives to Inform the Co-Design of a Web-Based Support and Learning Platform: Qualitative Content Analysis
Waldemar, A., Bremer, A., Israelsson, J., Heimburg, K., Nordberg, P., Nordström, E. B., Årestedt, K., & Thylén, I. (2026) · Journal of Medical Internet Research · doi:10.2196/84432
“Evidence that survivors and their family members can influence each other’s health outcomes and recovery trajectories [52] and calls for family-centered care in cardiac arrest survivorship [53] further support the need for dedicated family-oriented content.”
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2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 2. Current status of cardiac arrest and the chain of survival
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“Therefore, structured discharge planning and implementation based on medical and functional assessments are necessary and should include rehabilitation, recurrence prevention, medical follow-up for neurological sequelae, and support for social reinte-gration [35,36].”
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Hilger, S. G., Rosenthal, E. S., Kulpanowski, A. M., Dodelson, J. A., Cudemus-Deseda, G., Villien, M., Edlow, B., Januzzi, J., Ning, M.-M., Kimberly, W., et al. (2026) · Brain Communications · doi:10.1093/braincomms/fcag117
“1,2 Advances in post-resuscitation care have reduced initial mortality but thereby also leave a greater proportion of patients with uncertain neurological prognoses.”
Extracorporeal Cardiopulmonary Resuscitation in Cardiac Arrest.
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Integration of Health Education Technology to Improve Mothers' Understanding of Toddler Nutrition in the Ciputat Timur Community Health Center Area, South Tangerang
Wintarti, W. G. (2026) · Journal of Health Innovation and Environmental Education · doi:10.37251/jhiee.v3i1.2936
“Another study also found that the use of audiovisual media was more effective in increasing knowledge than modules or conventional methods [20], [21].”
Redefining Early Childhood Growth and Development Surveillance: A Sustainable, Technology-Integrated Primary Care Ecosystem Linking Maternal Health Literacy, Digital Monitoring, and Predictive Analytics
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“Fragmented documentation systems make it difficult for healthcare providers to track developmental trajectories longitudinally or identify early warning signals [32]-[34].”
Longitudinal Trends in Cardiac Arrest–Related Mortality in Patients With Chronic Obstructive Pulmonary Disease: A Retrospective U.S. Population-Based Study (1999–2023)
Anwar, S., Jain, H., Tariq, M. S., Hassan, A. M., Tariq, U., Jannat, A., Chaudhary, A., Waqar, H., Ahmed, Z., Khan, H., et al. (2026) · Cardiology in Review · doi:10.1097/crd.0000000000001211
Addressing fragmentation in cardiac arrest survivorship research: the Cardiac Arrest Research Hub.
Mion, M., & Joshi, V. L. (2026) · Resuscitation · doi:10.1016/j.resuscitation.2026.110978
Assessing adult attachment after out-of-hospital cardiac arrest: an exploratory analysis and construct validation of the ECR-RS
Hansen, N., Sivertsen, C. V. T. G., Stenbæk, D., Blakoe, M., Dichman, C., Winkel, B. G., Wieghorst, A., Borregaard, B., & Wagner, M. (2025) · Resuscitation Plus · doi:10.1016/j.resplu.2025.101209
Time-Frequency Images and Deep Learning-Based Automated Myocardial Infarction Detection System for Remote Monitoring
Khaparkar, S., & Mishra, A. (2025) · Journal of The Institution of Engineers (India) Series B · doi:10.1007/s40031-025-01280-7
“The risk of stroke, sudden cardiac arrest, and other health issues may be elevated by certain intermediate health conditions [6].”
Postcardiac Arrest Care Clinics and Multidisciplinary Outpatient Follow Up.
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European Resuscitation Council Guidelines 2025 System Saving Lives
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Translating Guidelines into Practice: A Multicentre Audit of the Implementation of ERC Survivorship and Follow-Up Recommendations After Cardiac Arrest
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“Recent guidelines [1] position statements [2,3] and quality standards [4] recommend the investigation of all these domains, before and after discharge.”
Knowledge, Attitudes, and Practices Regarding Post-Cardiac Arrest Syndrome Among Chinese Physicians: A Dual-Center Cross-Sectional Study
Wang, P.-F., Wu, Z., Tang, J., Liu, W., & Zhu, J. (2025) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s536181
“5 These multifaceted complications necessitate a coordinated and informed approach by healthcare providers, particularly physicians, who are pivotal in managing these patients.”
Age inconsistent brain atrophy following post cardiac arrest brain injury (PCABI): case report and review of literature
Raza, M. H., Khan, M., Anjum, A., Anjum, S., Saeed, F., & Pandey, A. (2025) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000003635
The Gordian Challenge of Selective Vulnerability in Post-Cardiac Arrest Brain Injury: The Problem or the Solution?
Bishara, A., Kathuria, A., & Geocadin, R. (2025) · Resuscitation · doi:10.1016/j.resuscitation.2025.110636
Self-citation
Sleeping on Pins and Needles: Exploring the decline in sleep quality for close family members of cardiac arrest survivors and how best to intervene.
Perman, S., & Presciutti, A. (2025) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2025.04.012
The factors that predict survival in out-of-hospital cardiac arrests and autopsy findings for individuals with unknown cause of death: A systematic review
Alanazi, M. M., Alqurzai, M., & Aljulidan, L. (2025) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2025.26.1.1445
“In-hospital interventions such as targeted temperature management, coronary angiography, and neurological assessment play a role in determining long-term outcomes (Sawyer et al. 2020).”
Cupping Therapy Approach as a Nonpharmacological Strategy for Controlling Headaches in Outpatients
Yanti, R. F., & Babeker, M. M. (2024) · Journal of Health Innovation and Environmental Education · doi:10.37251/jhiee.v1i2.2901
Dynamical Coupling for Cardiopulmonary-Cerebral Resuscitation Using Recurrence-Based Analyses
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“During CPR implementation, monitoring and assessing patient physiological indicators is not only essential for improving resuscitation quality but also a vital pathway to optimizing neurological outcomes [12].”
Sonographic Cardiac Activity Correlates with End-Tidal Carbon Dioxide and Cardiac Rhythm in Out-of-Hospital Cardiac Arrest
Spigner, M., García, C., Welle, L., Braude, D., Cluff, S., LaPrise, R., & White, J. M. B. (2024) · International Journal of Paramedicine · doi:10.56068/lxll1391

Authors: Sawyer, K. N., Camp-Rogers, T. R., Kotini-Shah, P., Del Rios, M., Gossip, M. R., Moitra, V. K., Haywood, K. L., Dougherty, C. M., Lubitz, S. A., Rabinstein, A. A., Rittenberger, J. C., Callaway, C. W., Abella, B. S., Geocadin, R. G., Kurz, M. C., & On behalf of the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; Council on Quality of Care and Outcomes Research; and Stroke Council
ORCID: Sawyer, Kelly N.
Moitra, Vivek K.
Haywood, Kirstie L.
Dougherty, Cynthia M.
Lubitz, Steven A.
Rabinstein, Alejandro A.
Rittenberger, Jon C.
Callaway, Clifton W.
Abella, Benjamin S.
Geocadin, Romergryko G.
Kurz, Michael C.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2020-03-24
Volume: 141
Issue: 12
Pages: e654-e685
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/cir.0000000000000747
OpenAlex: W3006280042
Cited by: 311
References: 0
Citations by year: 2026: 36 · 2025: 58 · 2024: 44 · 2023: 71 · 2022: 37 · 2021: 43 · 2020: 21
FWCI: 10.23
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords: sudden cardiac arrest, post-resuscitation care, rehabilitation, caregivers, emergency medical services, hospital care coordination
MeSH terms: Survivorship, American Heart Association, Humans, United States, Death, Sudden, Cardiac

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Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association

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