J Cardiovasc Interv.  2025 Apr;4(2):96-106. 10.54912/jci.2024.0031.

Early Neurological Assessment in Acute Myocardial Infarction Patients With Out-of-Hospital Cardiac Arrest: A Comprehensive Review

• Ryu JA

• KMID: 2566690
• DOI: http://doi.org/10.54912/jci.2024.0031

Abstract

Out-of-hospital cardiac arrest (OHCA) remains a significant global health concern, and acute myocardial infarction (AMI) is a common underlying cause. The neurological outcomes of survivors are of paramount importance, highlighting the need for a prompt and accurate neurological assessment. This review synthesizes current evidence and best practices for early neurological evaluations in AMI patients who have experienced OHCA. We explore various assessment tools, biomarkers, and imaging techniques, discussing their efficacy, limitations, and prognostic value. Additionally, we examine the impact of early neurological assessment on treatment decisions, resource allocation, and long-term patient outcomes. This comprehensive analysis aims to provide clinicians and researchers with an up-to-date understanding of the management of patients who experience AMI due to OHCA from the standpoint of neurological sequelae, offering insights into optimizing patient care and guiding future research directions.

Keyword

Out-of-hospital cardiac arrest; Myocardial infarction; Neurologic examination; Prognosis; Biomarkers