Part 1: Executive Summary

Hazinski, Mary Fran; Nolan, Jerry P.; Aickin, Richard; Bhanji, Farhan; Billi, John E.; Callaway, Clifton W.; Castrèn, Maaret; Caen, Allan R. de; Ferrer, Jose Maria E.; Finn, Judith; Gent, Lana M.; Griffin, Russell E.; Iverson, Sandra; Lang, Eddy; Lim, Swee Han; Maconochie, Ian; Montgomery, William; Morley, Peter; Nadkarni, Vinay; Neumar, Robert W.; Νικολάου, Νικόλαος; Perkins, Gavin D.; Perlman, Jeffrey M.; Singletary, Eunice M.; Soar, Jasmeet; Travers, Andrew H.; Welsford, Michelle; Wyllie, Jonathan; Zideman, David

doi:10.1161/cir.0000000000000270

Cited by 180 publications

(75 citation statements)

References 125 publications

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“…Because exercise‐related OHCA is more likely to be a witnessed event and associated with ventricular fibrillation,6 widespread dissemination of PAD programs—emphasizing the implementation of bystander‐initiated CPR as well as AED use to achieve rapid defibrillation18, 19, 20—should be effective in improving patient survival. In Osaka Prefecture, the number of the persons in the general population receiving any form of CPR training increased from ≈112 000 to 170 000 during the study period 21.…”

Section: Discussionmentioning

confidence: 99%

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Kiyohara

Nishiyama

Nishiuchi

et al. 2017

JAHA

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BackgroundExercise can trigger sudden cardiac arrest. Early initiation of cardiopulmonary resuscitation and automated external defibrillator use by laypersons could maximize the survival rate following exercise‐related out‐of‐hospital cardiac arrest (OHCA).Methods and Results OHCA data between 2005 and 2012 were obtained from a prospective population‐based OHCA registry in Osaka Prefecture. Patients with OHCA of presumed cardiac origin and occurring before emergency medical service personnel arrival were included. The incidence trends of exercise‐related OHCA over the 8‐year study period were assessed. Among patients with bystander‐witnessed, exercise‐related OHCA, the trends in the initiation of bystander cardiopulmonary resuscitation, public‐access defibrillation, and outcome were evaluated. The primary outcome was 1‐month survival with favorable neurological outcome, defined as cerebral performance category 1 or 2. During the study period, 0.7% of OHCAs of cardiac origin (222/31 030) were exercise related. The incidence of exercise‐related OHCA increased from 1.8 (per million population per year) in 2005 to 4.3 in 2012. Of these, 83.8% (186/222) were witnessed by bystanders. Among the patients with bystander‐witnessed, exercise‐related OHCA, the proportion that received bystander cardiopulmonary resuscitation (50.0% in 2005 and 86.2% in 2012) and public‐access defibrillation (7.1% in 2005 and 62.1% in 2012) significantly increased during the study period. Furthermore, the rate of 1‐month survival with favorable neurological outcome among these patients significantly improved (from 28.6% in 2005 to 58.6% in 2012).ConclusionsThe incidence rate of exercise‐related OHCA was low in the study population. The increase in bystander cardiopulmonary resuscitation and public‐access defibrillation rates were associated with improved outcome among patients with bystander‐witnessed, exercise‐related OHCA.

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Section: Discussionmentioning

confidence: 99%

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Kiyohara

Nishiyama

Nishiuchi

et al. 2017

JAHA

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“…Bradycardia may arise from the use of hyperosmolar contrast, blockage especially distal coronary arteries or the reaction of vasovagal reflex due to puncture, high emotional state, dehydration and pain (Antolin in 2004, Mitchell et al 2008. Severe bradycardia can induce hypotension, change in mental status, symptoms of shock, ischemic chest pain or acute heart failure (Hazinski et al 2010a).…”

Section: Preventing Stent Thrombosismentioning

confidence: 99%

Case Report: INTRAPROCEDURAL STENT THROMBOSIS IN PERCUTANEOUS CORONARY ANGIOPLASTY

Oktaviono¹

2017

FMI

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“…In 2005, the 1 month neurologically intact survival rate was only 3.3% among those with cardiogenic OHCA, and this increased to 7.8% in 2014. This improvement has been achieved through streamlining the chain of survival, particularly the increase in cardiopulmonary resuscitation (CPR) attempts by bystanders and intensive care during and after resuscitation 2, 3…”

Section: Introductionmentioning

confidence: 99%

Effective deployment of public‐access automated external defibrillators to improve out‐of‐hospital cardiac arrest outcomes

Nakahara

Sakamoto

2017

J of Gen and Family Med

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Out‐of‐hospital cardiac arrest (OHCA) is a major health concern in Japan and other developed countries with aging populations. Improvements in OHCA outcomes require streamlining the chain of survival. Deployment of public‐access automated external defibrillators (PADs) and defibrillation by bystanders is one strategy that may streamline the chain by reducing the time to defibrillation in individuals with shockable rhythms. Although the effectiveness of PAD programs in increasing survival to discharge has been reported, there have been criticisms and concerns about the small population impact, cost‐effectiveness, and potential negative impact on those with nonshockable rhythms. This article reviews relevant literature regarding the effectiveness and concerns regarding PAD for OHCA.

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Part 1: Executive Summary

Cited by 180 publications

References 125 publications

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Exercise‐Related Out‐of‐Hospital Cardiac Arrest Among the General Population in the Era of Public‐Access Defibrillation: A Population‐Based Observation in Japan

Case Report: INTRAPROCEDURAL STENT THROMBOSIS IN PERCUTANEOUS CORONARY ANGIOPLASTY

Effective deployment of public‐access automated external defibrillators to improve out‐of‐hospital cardiac arrest outcomes

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