Rotación anatómica del corazón y su relación con el éxito en la RCP

Abstract

Cardiac arrest is that situation in which the heart stops pumping blood into the body. In relation to those organs that undergo a deficit of blood supply, we should focus our attention on cerebral oxygenation so as to preserve the neurological function. Thoracic compressions during CPR are an intervention that must be performed properly. Inadequate CPR might occur, not only because of the fatigue of the resuscitator, but also because of other external factors. Thus, it is extremely relevant to bear in mind that some patients with cardiac alterations, such as changes in the natural position of the heart -Levorotation- have their systole-diastole cycle, and consequently their cardiac ejection fraction, affected, especially in the left ventricle. Objective: The general objective of the present review was to evaluate different evidenced factors that condition success in CPR and to propose new research designs focused on analysing the survival of those patients receiving a cardiac massage according to the anatomical position of the heart. The research question is: is there a higher survival in those subjects in which their left ventricle is exposed in the anterior aspect of the thorax? Conclusions. Quality cardiopulmonary resuscitation improves the number of people who survive cardiac arrest. In this way, healthcare professionals should be able to individualize assistance in the arrest, taking into account physiological variables and, as we highlight in the present article, other anatomical parameters such as heart rotation