MICHAEL C. FINN, M.D.
To the editor: During the past year the American Heart Association (1) has revised its recommendations concerning the use of calcium in patients with cardiac arrest. According to these guidelines, routine use of calcium during cardiac arrest and electromechanical dissociation is no longer advised. This recommendation is based on a number of retrospective and prospective studies in cardiac arrest that do not show clear-cut benefits from calcium (3, 4).
A number of studies have shown adverse effects on the myocardium from excess calcium accumulation occurring during cardiopulmonary arrest. Stempein and associates (5) concluded that the administration of calcium during cardiopulmonary
FINN MC. Calcium and Cardiac Arrest. Ann Intern Med. ;106:630–631. doi: 10.7326/0003-4819-106-4-630_2
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Published: Ann Intern Med. 1987;106(4):630-631.
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