IMR Press / RCM / Volume 24 / Issue 9 / DOI: 10.31083/j.rcm2409262
Open Access Review
Non-Occlusive Mesenteric Ischemia in Cardiac Arrest Patients
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1 Anaesthesiology and Resuscitation Department, Cardiac Centre, Institute for Clinical and Experimental Medicine, 14000 Prague, Czech Republic
2 First Faculty of Medicine, Charles University, 12108 Prague, Czech Republic
3 2nd Department of Medicine -- Department of Cardiovascular Medicine, General University Hospital, 12800 Prague, Czech Republic
*Correspondence: (Jana Smalcova)
Rev. Cardiovasc. Med. 2023, 24(9), 262;
Submitted: 1 April 2023 | Revised: 8 May 2023 | Accepted: 18 May 2023 | Published: 19 September 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Non-occlusive mesenteric ischemia (NOMI) is a severe complication in patients after cardiac arrest (CA). The diagnosis is complicated, the treatment options are limited. Given the susceptibility of enterocytes to ischemia, the incidence and severity of NOMI in the post-resuscitation period may reflect the intensity and duration of both ischemia and subsequent reperfusion injury. NOMI is considered to be associated with adverse neurological outcomes in CA patients. Therefore, NOMI should not only be regarded as a post-resuscitation complication but also as one of the prognostic markers in CA patients.This paper summarizes current knowledge on NOMI’s pathophysiology, diagnosis, treatment, and prognostic significance in CA patients.

non-occlusive mesenteric ischemia
cardiac arrest
ischemia-reperfusion injury
“Cooperatio – Intensive Care Medicine”
MH CZ-DRO-VFN64165/Ministry of Health, Czech Republic
Fig. 1.
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