الفهرس 
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Abstract
This study aimed to : In this review essay, I have discussed the importance of the patient’s condition, who have survived cardiac arrest. In the meantime, I have tried my best to collect all the medical tools, which might help in the mortality and morbidity progress of the post cardiac arrested patients. I have discussed the pathophysiology of the post cardiac arrest syndrome. Then , I have illustrated the importance of the role of hypothermia , arterial hyperoxia , blood glucose control, the role of per cutaneous intervention in arrested patients and the role of Implantable cardiac defibrillator .Further- more , I displayed the movement disorders which are associated with patients , who survived cardiac arrest. Up to my knowledge, I have tried my level best to look for the difference in mortality rates in shockable and non-shockable patients but I could not find scientific evidence illustrating the difference. In this review, the general management of post-cardiac arrest patients should follow the standards of care for most critically ill patients in the ICU setting. Lactate clearance at 6 hours and 12 hours in OHCA patients undergoing TH may be useful as a predictor of good neurologic outcome. Advocate global hemodynamic optimization after ROSC, may improve the incidence and prognostic significance of persistent circulatory insufficiency after ROSC. Hypothermia helps to stabilize the influx of calcium and glutamate by slowing the neuro-excitatory processes, thereby reducing the disruptions in the blood–brain barrier and preventing premature cell death. Hypothermia is also thought to decrease many of the chemical reactions that occur during reperfusion, such as free radical production. Temperatures less than 35°C lead to decreased neutrophil and macrophage functions. This reduces the inflammatory response that is initiated after ischemia. Fatal prognosis of prolonged cardiac arrest could be significantly improved by timely setup of full extracorporeal life support