Executive Summary　― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

Kikuchi, Masatoshi; Terada, Yoshio; Yamaguchi, Junichi; Nakashima, Takahiro; Nomura, Osamu; Tanaka, Akihito; Kojima, Sunao; Hashiba, Katsutaka; Nakayama, Naoki; Hanada, Hiroyuki; Mano, Toshiaki; Yamamoto, Takeshi; Matsuo, Keitaro; Takeuchi, Ichiro; Matoba, Tetsuya; Nonogi, Hiroshi

doi:10.1253/circj.cj-23-0096

Cited by 7 publications

(2 citation statements)

References 17 publications

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“… 10 In Japan, emergency personnel are prohibited by law from terminating resuscitation efforts at the scene except when clear signs of irreversible death are present, such as decapitation, rigor mortis, charring, or decomposition. Emergency personnel in Japan follow the Japanese Cardiopulmonary Resuscitation Guidelines 11 and perform CPR while transporting the patient to a medical facility.…”

Section: Methodsmentioning

confidence: 99%

Verification of the termination of resuscitation rules in pediatric out-of-hospital cardiac arrest cases

Minami,

Toida,

Shinohara

et al. 2024

Resuscitation Plus

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Section: Methodsmentioning

confidence: 99%

Verification of the termination of resuscitation rules in pediatric out-of-hospital cardiac arrest cases

Minami,

Toida,

Shinohara

et al. 2024

Resuscitation Plus

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“…1,2 Patients with non-ST elevation acute coronary syndrome (NSTE-ACS) require an efficient triage system. 3,4 Approximately 2-5% of patients with NSTE-ACS who are discharged home often have poor outcomes, resulting in a high rate of malpractice suits in emergency medicine. Meanwhile, more than half of ED patients with chest pain have clinical findings consistent with NSTE-ACS after the initial evaluation and are admitted to hospital.…”

mentioning

confidence: 99%

Diagnostic and Cost Efficiency of the 0-h/1-h Rule-out and Rule-in Algorithm for Patients With Chest Pain in the Emergency Department

Sasaki

Inoue

Shiozaki

et al. 2023

Circ J

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Background: This study investigated the economic impact of the European Society of Cardiology (ESC) clinical practice guideline recommendation of using the 0-h/1-h rule-out and rule-in algorithm with high-sensitivity cardiac troponin assays (0/1-h algorithm) to triage patients presenting with chest pain. Methods and Results:This post hoc cost-effectiveness evaluation (DROP-ACS; UMIN000030668) used deidentified electronic medical records from health insurance claims from 2 diagnostic centers in Japan. A cost-effectiveness analysis was conducted with 472 patients with care provided following the 0/1-h algorithm (Hospital A) and 427 patients following point-of-care testing (Hospital B). The clinical outcome of interest was all-cause mortality or subsequent myocardial infarction within 30 days of the index presentation. The sensitivity and specificity for the clinical outcome were 100% (95% confidence interval [CI] 91.1-100%) and 95.0% (95% CI 94.3-95.0%), respectively, in Hospital A and 92.9% (95% CI 69.6-98.7%) and 89.8% (95% CI 89.0-90.0%), respectively, in Hospital B. If the diagnostic accuracy of the 0/1-h algorithm was implemented in Hospital B, it is expected that the number of urgent (<24-h) coronary angiograms would decrease by 50%. Incorporating this assumption, implementing the 0/1-h algorithm could potentially reduce medical costs by JPY4,033,874 (95% CI JPY3,440,627,402) in Hospital B (JPY9,447 per patient; 95% CI JPY 8,057-10,837 per patient). Conclusions:The ESC 0/1-h algorithm was efficient for risk stratification and for reducing medical costs.

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No standard modifiable cardiovascular risk factors in acute myocardial infarction: prevalence, pathophysiology, and prognosis

Saito,

Tsujita,

Kobayashi

2024

Cardiovasc Interv and Ther

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Standard modifiable cardiovascular risk factors (SMuRFs), such as hypertension, diabetes, dyslipidemia, and current smoking, are associated with the development of atherosclerotic cardiovascular diseases including acute myocardial infarction (MI). Thus, therapeutic approaches against SMuRFs are important as primary and secondary prevention of cardiovascular diseases. In patients with acute MI, however, the prognosis is counterintuitively poor when SMuRFs are lacking. The growing evidence has explored the prevalence, pathophysiology, and prognosis of SMuRF-less patients in acute MI and suggested the potential underlying mechanisms. This review article summarizes the clinical evidence and relevance of the lack of SMuRFs in acute MI.

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Executive Summary　― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

Cited by 7 publications

References 17 publications

Verification of the termination of resuscitation rules in pediatric out-of-hospital cardiac arrest cases

Verification of the termination of resuscitation rules in pediatric out-of-hospital cardiac arrest cases

Diagnostic and Cost Efficiency of the 0-h/1-h Rule-out and Rule-in Algorithm for Patients With Chest Pain in the Emergency Department

No standard modifiable cardiovascular risk factors in acute myocardial infarction: prevalence, pathophysiology, and prognosis

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Executive Summary ― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―

Cited by 7 publications

References 17 publications

Verification of the termination of resuscitation rules in pediatric out-of-hospital cardiac arrest cases

Verification of the termination of resuscitation rules in pediatric out-of-hospital cardiac arrest cases

Diagnostic and Cost Efficiency of the 0-h/1-h Rule-out and Rule-in Algorithm for Patients With Chest Pain in the Emergency Department

No standard modifiable cardiovascular risk factors in acute myocardial infarction: prevalence, pathophysiology, and prognosis

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Product

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Executive Summary　― Acute Coronary Syndrome in the Japan Resuscitation Council Guidelines for Resuscitation 2020 ―