Continuous heart rate dynamics preceding in-hospital pulseless electrical activity or asystolic cardiac arrest of respiratory etiology

Shan, Rongzi; Yang, Jason; Kuo, Alan; Lee, Randall; Hu, Xiao-Yang; Boyle, Noel; H., Duc

doi:10.1016/j.resuscitation.2022.07.026

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…We inferred that the causes, such as bleeding or electrolyte disturbance, were not easy to detect or correct quickly in the general ward and were apt to induce non-shockable arrest. However, when encountered with these factors, the ECG has a dynamic progress, which provides an opportunity to treat the reversible causes of pre-arrest [ 17 – 19 ]. Serious bradycardia results in cardiac congestion and an excessive blood volume.…”

Section: Discussionmentioning

confidence: 99%

Analysis of cardiac arrest after coronary artery bypass grafting

Yang,

Tiemuerniyazi,

et al. 2024

J Cardiothorac Surg

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Background Cardiac arrest after coronary artery bypass grafting (CABG) is a serious complication with low survival rate. The prognosis of patients with cardiac arrest in the general ward is worse than that in the intensive care unit (ICU) because of the delayed and poor rescue conditions. Methods This retrospective study included patients who experienced cardiac arrest after CABG surgery between January 2010 and December 2019 at the Fuwai Hospital. Differences in cardiac arrest between the ICU and the general ward were compared. The patients were divided into shockable and non-shockable rhythm groups, and the differences between the two groups were compared. Finally, we proposed a management protocol for cardiac arrest in the general ward. Results We retrospectively analyzed 41,450 patients who underwent CABG only, of whom 231 (0.56%) experienced cardiac arrest post-surgery in the ICU (185/231) or in the general ward (46/231). The rescue success rate and 30-day survival rate of the patients with cardiac arrest in the general ward were 76.1% (35/46) and 58.7% (27/46), respectively. The incidence of the different arrhythmia types of cardiac arrest in the general ward compared with that in the ICU was different (P = 0.010). The 30-day survival rate of the non-shockable rhythm group was 31.8% (7/22), which was worse than that of the shockable rhythm group (83.3% [20/24]; P = 0.001). Kaplan–Meier survival analysis showed that the prognosis of the non-shockable group was poor (P < 0.001). Conclusions The incidence of cardiac arrest after CABG was low. The prognosis of patients in the general ward was worse than that of those in the ICU. The proportion of non-shockable rhythm type cardiac arrest was higher in the general ward than in the ICU, and patients in this group had a worse early prognosis.

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Section: Discussionmentioning

confidence: 99%

Analysis of cardiac arrest after coronary artery bypass grafting

Yang,

Tiemuerniyazi,

et al. 2024

J Cardiothorac Surg

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Massive Anterior Mediastinal Lipoma Causing Cardiac Arrest in a Middle-Aged Male: A Case Report and Literature Review

Weng,

Jiang,

Zhou

2023

Future Cardiol.

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Lipoma is a common benign soft tissue tumor, but its size and location can lead to serious issues. We report a case of a 48 year-old male patient who experienced sudden cardiac arrest outside the hospital. After resuscitation and examination, we determined that this was due to a massive mediastinal lipoma compressing the lungs, leading to respiratory failure and pulmonary encephalopathy, ultimately resulting in cardiac arrest. This case serves as a reminder to promptly identify and manage chest lipomas to avoid compression and functional impairment of the respiratory system. Early evaluation and treatment of massive lipomas are crucial for preventing complications.

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Continuous heart rate dynamics preceding in-hospital pulseless electrical activity or asystolic cardiac arrest of respiratory etiology

Cited by 2 publications

References 25 publications

Analysis of cardiac arrest after coronary artery bypass grafting

Analysis of cardiac arrest after coronary artery bypass grafting

Massive Anterior Mediastinal Lipoma Causing Cardiac Arrest in a Middle-Aged Male: A Case Report and Literature Review

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