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November 17, 2013New England Journal of Medicine2,791 citationsOpen Access

Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest

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NNNiklas NielsenGeneral CardiologyJWJørn WetterslevUniversity of North Carolina at Chapel HillTCTobias CronbergLund University

Key Points

  • To evaluate the effectiveness of hypothermia at 33°C compared to 36°C in unconscious survivors of cardiac arrest.
  • Randomized trial design
  • Participants were unconscious survivors of out-of-hospital cardiac arrest of presumed cardiac cause
  • ClinicalTrials.gov registry number NCT01020916
  • Hypothermia at 33°C showed no benefit compared to 36°C in recovery outcomes.
  • Clinical outcomes remained similar at both temperature targets.

Abstract

In unconscious survivors of out-of-hospital cardiac arrest of presumed cardiac cause, hypothermia at a targeted temperature of 33°C did not confer a benefit as compared with a targeted temperature of 36°C. (Funded by the Swedish Heart-Lung Foundation and others; TTM ClinicalTrials.gov number, NCT01020916.).

Expert Takes6 quotes

1/6

“There is basic science, animal evidence, that supports the use of therapeutic hypothermia. But then the clinical implications for adult cardiac arrest are based on quite low-certainty evidence that is almost 20 years old. We might have jumped the [gun] to use therapeutic hypothermia a little bit too early. So I would say that today there is no hard evidence that cooling cardiac arrest patients in any category is beneficial.”

Niklas Nielsen, Physician-researcher, Helsingborg Hospital, SwedenHelsingborg Hospitalauto_pipelineCriticalView source
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Cite This Study

Nielsen et al. (2013) studied this question.

synapsesocial.com/papers/69dcd5b2c099bcfdbb133e43https://doi.org/10.1056/nejmoa1310519
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