Angiographic coronary morphology in survivors of cardiac arrest

Lo, Y. S. Archie; Cutler, Joel E.; Blake, Kathleen; Wright, Allison; Kron, Jack; Swerdlow, Charles D.

doi:10.1016/0002-8703(88)90879-4

Cited by 48 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The primary outcome was the detection of a recent coronary occlusion on the systematic coronary angiogram performed at hospital admission. Among patients with multiple coronary lesions, a PCI was attempted only in patients with a recent coronary occlusion or an unstable lesion defined by classification of Lo et al (16), derived from a previous classification by Ambrose et al (17) that could be considered as the cause of cardiac arrest. PCI was deemed successful if it resulted in residual stenosis of 50% with thrombolysis in myocardial infarction grade 3 flow, as previously reported (5).…”

Section: Methodsmentioning

confidence: 99%

Can early cardiac troponin I measurement help to predict recent coronary occlusion in out-of-hospital cardiac arrest survivors?

Dumas

Manzo-Silberman

Fichet

et al. 2012

Critical Care Medicine

View full text Add to dashboard Cite

In this large cohort of out-of-hospital cardiac arrest patients, isolated early cardiac troponin I measurement is modestly predictive of a recent coronary occlusion. Furthermore, the contribution of this parameter even in association with other factors does not seem helpful to predict recent occlusion. As a result and given the high benefit of percutaneous coronary intervention for such patients, the dosage of cardiac troponin I at admission could not help in the decision of early coronary angiogram.

show abstract

Section: Methodsmentioning

confidence: 99%

Can early cardiac troponin I measurement help to predict recent coronary occlusion in out-of-hospital cardiac arrest survivors?

Dumas

Manzo-Silberman

Fichet

et al. 2012

Critical Care Medicine

View full text Add to dashboard Cite

show abstract

“…79,80 Access to PCI Up to 70% of patients with OHCA have coronary artery disease. Although 50% have acute coronary occlusion, [81][82][83][84][85][86][87][88][89][90][91] only a minority of patients with OHCA with ROSC who were transported to hospital have an ST-segment elevation on a 12-lead ECG. 92,93 Mortality after emergent angiography for STEMI patients in the setting of post-ROSC OHCA is greater than that in the setting of STEMI alone.…”

Section: Referring and Receiving Facilitiesmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

McCarthy¹,

Carr²,

Sasson³

et al. 2018

Circulation

View full text Add to dashboard Cite

ABSTRACT:The American Heart Association previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, emergency medical services, and hospital efforts to measure and improve the process of care and outcome for patients with cardiac arrest. In addition, the American Heart Association proposed a national process to develop and implement evidence-based guidelines for cardiac resuscitation systems of care. Significant experience has been gained with implementing these systems, and new evidence has accumulated. This update describes recent advances in the science of cardiac resuscitation systems and evidence of their effectiveness, as well as recent progress in dissemination and implementation throughout the United States. Emphasis is placed on evidence published since the original recommendations (ie, including and since 2010). Cardiac arrest is loss of mechanical activity of the heart confirmed by the absence of signs of circulation.1 Approximately 356 461 people are treated for out-of-hospital cardiac arrest (OHCA) annually in the United States.2 One third of cases occur without any prior recognized heart disease; half occur without any prodromal symptoms.3 Despite robust systems of care for patients with trauma and rapidly evolving systems of care for patients with ST-segment-elevation myocardial infarction (STEMI) and stroke, the majority of communities do not achieve optimal survival after OHCA because of large discrepancies in resuscitation-related processes of care.4-6 As a result, survival to hospital discharge varies significantly both across different regions and by presenting rhythm. 7,8 Survival increases significantly if the OHCA is quickly recognized and responded to with prompt activation of 9-1-1, bystander-initiated cardiopulmonary resuscitation (CPR), bystander and/or basic first responder application of an automated external defibrillator (AED) before arrival of other emergency medical services (EMS) providers on scene, advanced life support, and postresuscitation care. The American Heart Association (AHA) previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, EMS, and hospital efforts to measure and improve the process and outcome of care for patients with cardiac arrest.10 Simultaneously, the AHA proposed a national process to develop and implement evidence-based guidelines for the implementation and measurement of such systems. The 2015 AHA guidelines for CPR and emergency cardiovascular care delved deeper into the elements of an effective system of care for both OHCA and in-hospital cardiac arrest.11 This update on OHCA resuscitation systems of care describes recent advances, evidence

show abstract

“…The potential contribution of coronary ischemia in OHCA was observed initially in postmortem case series and in angiography data obtained from survivors of sudden cardiac death. 4,25 Immediate coronary angiography followed by successful coronary intervention has been shown to be an independent predictor for survival and improved neurological outcomes for patients with OHCA, irrespective of the presence or absence of STEMI on the presenting ECG. The supportive data for emergency coronary angiography are most compelling in patients who manifest ST elevation on the surface ECG, because the benefit of emergency reperfusion of the infarctrelated artery is well established in this setting.…”

Section: The Role Of Emergency Pci In Ohca Patientsmentioning

confidence: 99%

“…Accumulating clinical data now show that up to 70% of OHCA patients have coronary artery disease, and nearly half have an acute coronary occlusion. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] These data underscore the importance of early coronary angiography, and reperfusion in these patients is likely similar to that in STEMI patients who have not had a CA.…”

mentioning

confidence: 99%

Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers

Peberdy¹,

Donnino²,

Callaway³

et al. 2013

Circulation

View full text Add to dashboard Cite

Angiographic coronary morphology in survivors of cardiac arrest

Cited by 48 publications

References 11 publications

Can early cardiac troponin I measurement help to predict recent coronary occlusion in out-of-hospital cardiac arrest survivors?

Can early cardiac troponin I measurement help to predict recent coronary occlusion in out-of-hospital cardiac arrest survivors?

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers

Contact Info

Product

Resources

About