Clinical outcome of patients treated with an early invasive strategy after out-of-hospital cardiac arrest
| Autor: | Albrecht Elsässer, Michael Weber, H. Möllmann, H. M. Nef, Sebastian Szardien, C Hamm, Andreas Rolf, Johannes Rixe, C. Liebetrau |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Invasive strategy Resuscitation medicine.medical_treatment Blood Pressure Kaplan-Meier Estimate Biochemistry Risk Assessment Out of hospital cardiac arrest Heart Rate Internal medicine Germany medicine Humans In patient Acute Coronary Syndrome Cardiac catheterization Aged business.industry Biochemistry (medical) Stroke Volume Cell Biology General Medicine Middle Aged Cardiopulmonary Resuscitation Hospitalization Treatment Outcome Emergency medicine Cardiology Female business Biomarkers Out-of-Hospital Cardiac Arrest |
| Zdroj: | The Journal of international medical research. 39(6) |
| ISSN: | 1473-2300 |
| Popis: | Little is known about the impact of early invasive treatment in patients following out-of-hospital cardiac arrest (OHCA). The present study investigated the clinical characteristics and long-term prognosis of 1254 patients with suspected acute coronary syndrome, including 65 with OHCA who underwent successful cardiopulmonary resuscitation (CPR) and 1189 patients who did not require CRP. All patients underwent immediate coronary angiography even if clear signs of myocardial infarction (MI) were absent. The incidence of ST-elevation and non-ST-elevation MI did not differ between the two groups. Cardiac biomarkers were significantly higher in CPR patients despite a shorter period from symptom onset to admission. The 6-month mortality rate was 29% in the CPR group and 4% in the non-CPR group, with > 90% of fatalities occurring ≤ 3 weeks after admission. In summary, early invasive treatment leads to a considerably reduced mortality and improved prognosis in patients after OHCA. |
| Databáze: | OpenAIRE |
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