A groundbreaking study into near-death experiences has shed new light on what cardiac arrest sufferers go through.
In theory, someone in cardiac arrest is on the verge of life and death and is never conscious, yet this study seemed to suggest otherwise.
It found that 40% of people who underwent CPR and survived cardiac arrest had memories, dreamlike experiences or some perception even when they were unconscious.
Scientists suggested that some people were aware of what was happening, finding signs of brain wave activity - sometimes up to an hour - before they were resuscitated.
In some cardiac arrest patients, a flurry of brain activity during life-saving CPR may be a sign of a "near-death experience" https://t.co/XktELOJRAw
— Scientific American (@sciam) September 14, 2023
"There's nothing more extreme than cardiac arrest because they're literally teetering between life and death, they're in a deep coma and they don't respond to us physically at all," lead study author Dr Sam Parnia, an associate professor in the department of medicine at NYU Langone Health, told NBC News, Sky News' US partner.
"What we're able to show is that up to 40% of people actually have a perception of having been conscious to some extent."
Six patients in the study reported what the researcher called "transcendent recalled experiences of death" - what many think of as a near-death experience.
"They may have had a life review, they may have gone to a place that felt like home, and so on," said Dr Parnia.
Sky News reports that several patients could recall aspects of their medical treatment, such as pain, pressure or hearing the voices of doctors.
Others remembered dreamlike sensations, such as being chased by the police or being caught in the rain.
A new study of cardiac arrest survivors suggests almost 40% of people that underwent CPR had memories, dreamlike experiences or some type of perception while they were unconscious. https://t.co/wNMfu26swz
— NBC News (@NBCNews) September 14, 2023
Some had positive memories, such as seeing a light, a tunnel or a family member, while others felt intense emotions such as love, tranquillity and peace.
However, others had a feeling of separation from the body and a recognition they had died or had delusions of monsters or faceless figures.
The study, published in the journal Resuscitation, monitored 567 people who underwent cardiac arrest resuscitation at 25 different hospitals.
Fewer than 10% of patients survived and the researchers were able to interview 28 of the 53 survivors.
"I think that's incredible"
Eleven reported said they could recall or have perceptions of being awake, which suggested at least some consciousness during resuscitation.
Researchers also measured brain oxygen and electrical activity in some patients and found certain brainwave activity, suggesting some mental function during CPR.
"I think that's incredible," Dr Sheldon Cheskes, a professor of emergency medicine at the University of Toronto, who studies cardiac arrest resuscitation and was not involved in the research, told NBC. "You would never have known that without being able to do that brainwave monitoring."
During cardiac arrest, the heart quivers with uncoordinated contractions and flow around the body, including to the brain, ceases. Unlike a heart attack, a person in cardiac arrest is always unconscious.
The researchers also tested if patients could recall specific sights or sounds, known as implicit learning.
New research by Dr. Sam Parnia found that some survivors of cardiac arrest who were revived with CPR experienced brain patterns linked to thought and memory while they were seemingly unconscious, up to an hour after their hearts stopped.
— NYU Grossman School of Medicine (@nyugrossman) September 14, 2023
Learn more: https://t.co/GuuueWsiDr pic.twitter.com/SGxySKYlY9
To do so they placed headphones on patients during resuscitation and played three words - apple, pear, banana - and used a tablet to display 10 images.
Only one of the 28 patients interviewed correctly remembered the three-word sequence and none could recall the images.
Dr Katherine Berg, an assistant professor of medicine at Harvard Medical School and chair of the writing group for the 2025 American Heart Association post-cardiac arrest care guidelines, told NBC the main takeaway was that survivors may have some memories of CPR.
"I hope that studies like this one will prompt physicians to ask cardiac arrest survivors about these memories and experiences and assess for any post-traumatic stress or other psychological symptoms that might need to be addressed," she said.
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