Clinical and cardiac features of patients with subarachnoid haemorrhage presenting with out-of-hospital cardiac arrest

Differentiating between comatose patients resuscitated from acute coronary syndrome-associated and subarachnoid hemorrhage-associated out-of-hospital cardiac arrest

“…Definite non-cardiac endogenous comatose patients resuscitated from OHCA were divided into SAH patients (the SAH-OHCA group) and non-SAH patients. All patients in the SAH-OHCA group were diagnosed by head CT, as described in previous studies [8][9][10]. CT images were evaluated by board-certified brain surgeons and radiologists.…”

“…Several reports recommend performing immediate coronary angiography (CAG) regardless of 12-lead ECG findings [3][4][5][6][7]. Subarachnoid hemorrhage (SAH), on the other hand, is known to be one of the etiologies of OHCA [8][9][10]. Comatose patients resuscitated from SAH-associated OHCA (SAH-OHCA) often have clinical signs that mimic ACS-associated OHCA (ACS-OHCA) patients upon clinical and ECG evaluation in the emergency department (ED) [8][9][10].…”

“…Subarachnoid hemorrhage (SAH), on the other hand, is known to be one of the etiologies of OHCA [8][9][10]. Comatose patients resuscitated from SAH-associated OHCA (SAH-OHCA) often have clinical signs that mimic ACS-associated OHCA (ACS-OHCA) patients upon clinical and ECG evaluation in the emergency department (ED) [8][9][10]. The therapeutic strategy for SAH is completely different from that for ACS.…”

Kreislaufstillstand in besonderen Situationen

“…B. beobachtet oder nicht, Notfallzeugen-CPR) für Über-leben ab [702]. Eine schlechte Prognose haben Patienten mit ROSC nach Subarachnoidalblutung [704,706,708]. Patienten, die nach einer primären neurologischen Ursache bei Kreislaufstillstand einen ROSC erreichen, erfüllen oft neurologische Kriterien für einen Hirntod und sollen als potenzielle Organspender berücksichtigt werden [709].…”

Neurologic Causes of Cardiac Arrest and Outcomes

“…Of 74 patients in our study population, only 3 could be discharged in good neurologic condition. Mitsuma et al also observed a high ROSC rate, but no patient survived to hospital discharge (19). Initial cardiac rhythm revealed no ventricular fibrillation.…”