Resistance to conventional cardiopulmonary resuscitation in witnessed out-of-hospital cardiac arrest patients with shockable initial cardiac rhythm

Otani, Takayuki; Sawano, Hirotaka; Oyama, Kenichi; Morita, Masaya; Natsukawa, Tomoaki; Tsuiki, Kai

doi:10.1016/j.jjcc.2015.08.020

Cited by 16 publications

(12 citation statements)

References 29 publications

(41 reference statements)

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“…In their study, there were no significant differences in the location of the culprit lesion and the number of coronary artery stenosis between the two groups, but patients with no recanalization during the initial CAG were significantly more common in the ECPR group than in the non-ECPR group. 20) These findings are inconsistent with our results. Coronary flow evaluation under ECMO support is difficult, and coronary flow is often suppressed under the counterflow from ECMO.…”

Section: Svdcontrasting

confidence: 97%

Association Between Multivessel Coronary Artery Disease and Return of Spontaneous Circulation Interval in Acute Coronary Syndrome Patients with Out-of-Hospital Cardiac Arrest

et al. 2019

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Acute coronary syndrome (ACS) is the major cause of out-of-hospital cardiac arrest (OHCA). The relationship between the findings from the study of coronary images and return of spontaneous circulation (ROSC) interval is still unknown. Hence, we investigated this relationship in ACS patients with OHCA.A cohort of 2779 patients was admitted to our emergency center due to cardiopulmonary arrest (CPA) between April 2011 and March 2015. We included ACS patients who had CPA with ventricular fibrillation (VF) as an initial rhythm, were successfully resuscitated, underwent coronary angiography (CAG), had a culprit lesion, and were diagnosed with ACS (n = 58; age, 63.7 ± 12.0 years; 93.1% male).We divided the 58 patients into two groups, an early ROSC group (ROSC !20 minutes: E-ROSC) and a late ROSC group (ROSC > 20 minutes: L-ROSC), and then analyzed their characteristics.The finding of a collateral artery for the culprit lesion location, Rentrop II-III, and TIMI III flow on CAG on arrival presented no significant differences between the two groups (Rentrop II-III: 25.0% versus 23.5%, P = 0.90; TIMI III: 33.3% versus 35.3%, P = 0.88). The incidence of multivessel coronary artery disease (MVD) was lower in the E-ROSC group than in the L-ROSC group (16.7% versus 58.8%, P = 0.001).Collateral and TIMI flow were not associated with ease of resuscitation, but MVD may have a negative impact on resuscitation, especially in VF patients.(Int Heart J 2019; 60: 1043-1049)

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Section: Svdcontrasting

confidence: 97%

Association Between Multivessel Coronary Artery Disease and Return of Spontaneous Circulation Interval in Acute Coronary Syndrome Patients with Out-of-Hospital Cardiac Arrest

et al. 2019

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“…In the present study, although EMS-witnessed arrest was not associated with prehospital ROSC, it remained an independent predictor in multivariate analysis models for one-month survival and onemonth CPC 1-2. This implies that even if ROSC is not achieved in the prehospital setting, early detection of cardiac arrest, provision of optimal CPR during EMS transportation to hospital, and progression of in-hospital care (such as extracorporeal CPR and coronary intervention) might contribute to in-hospital ROSC and subsequent one-month CPC 1-2 [29].…”

Section: Discussionmentioning

confidence: 99%

Prehospital predictors of neurological outcomes in out-of-hospital cardiac arrest patients aged 95 years and older: A nationwide population-based observational study

Funada

Goto

Maeda

et al. 2017

Journal of Cardiology

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“…274 Extracorporeal membrane oxygenation (ECMO or eCPR) may be of potential use for patients with underlying congenital heart disease or where a reversible disease process is present and where existing protocols, personnel and equipment are established and readily available. 4, 275, 276 No data are available for ECMO for OHCA where institution of cardiovascular support is markedly delayed, although it has been demonstrated to be effective following prolonged CPR after in-hospital CA in children. 277, 278 …”

Section: Prophylaxis and Secondary Therapy Of Scd In The Youngmentioning

confidence: 99%

Sudden Cardiac Death in the Young

2016

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Although the occurrence of sudden cardiac death (SCD) in a young person is a rare event, it is traumatic and often widely publicized. In recent years, SCD in this population has been increasingly seen as a public health and safety issue. This review presents current knowledge relevant to the epidemiology of SCD and to strategies for prevention, resuscitation and identification of those at greatest risk. Areas of active research and controversy include the development of best practices in screening, risk stratification approaches and post-mortem evaluation, and identification of modifiable barriers to providing better outcomes after resuscitation of young SCD victims. Institution of a national registry of SCD in the young will provide data that will help to answer these questions.

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Resistance to conventional cardiopulmonary resuscitation in witnessed out-of-hospital cardiac arrest patients with shockable initial cardiac rhythm

Abstract: The major cause of witnessed OHCA with shockable initial cardiac rhythm was AMI, and resistance to conventional CPR was related to continuous myocardial ischemia.

Cited by 16 publications

References 29 publications

Association Between Multivessel Coronary Artery Disease and Return of Spontaneous Circulation Interval in Acute Coronary Syndrome Patients with Out-of-Hospital Cardiac Arrest

Association Between Multivessel Coronary Artery Disease and Return of Spontaneous Circulation Interval in Acute Coronary Syndrome Patients with Out-of-Hospital Cardiac Arrest

Prehospital predictors of neurological outcomes in out-of-hospital cardiac arrest patients aged 95 years and older: A nationwide population-based observational study

Sudden Cardiac Death in the Young

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