Remodeling of the 12-lead electrocardiogram in immediate survivors of sudden cardiac arrest
| Autor: | Audrey Uy-Evanado, Elizabeth P. Held, Jonathan Jui, Kotoka Nakamura, Sumeet S. Chugh, Kyndaron Reinier, Harpriya Chugh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Resuscitation medicine.medical_specialty 12 lead electrocardiogram 030204 cardiovascular system & hematology Emergency Nursing Unexpected death Article Electrocardiography Oregon 03 medical and health sciences QRS complex 0302 clinical medicine Risk Factors Internal medicine Humans Medicine Repolarization Survivors cardiovascular diseases Ventricular depolarization Myocardial repolarization business.industry 030208 emergency & critical care medicine Sudden cardiac arrest Death Sudden Cardiac Emergency Medicine Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Resuscitation |
| ISSN: | 0300-9572 |
| Popis: | BACKGROUND: The ECG is a critical diagnostic tool for the management of immediate sudden cardiac arrest (SCA) survivors, but can be altered following the SCA event. A limited number of studies report that electrical remodeling post SCA is due to prolonged myocardial repolarization, but a better understanding of this phenomenon is needed. AIM: To identify specific ECG abnormalities that follow SCA in immediate survivors. METHODS: SCA survivors with a pre-arrest ECG and an ECG obtained within 48 hours post-SCA were prospectively collected in the Oregon Sudden Unexpected Death Study (Portland metro region) from 2002–2015. Ventricular depolarization and repolarization measurements were compared between pre-arrest and post-arrest ECGs using paired t-tests and assessed for association with survival using unpaired t-tests and Pearson’s chi-square tests. RESULTS: A pre-arrest ECG and post-arrest ECG were available for 297 SCA cases (67.8 ± 13.4 years; 65.3% male). From the pre- to post-arrest setting, there was a significant mean increase in QRS (21 ms, p |
| Databáze: | OpenAIRE |
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