Survival and Neurologic Recovery in Patients With ST-Segment Elevation Myocardial Infarction Resuscitated From Cardiac Arrest

Hosmane, Vinay; Mustafa, Nowwar; Reddy, Vivek; Reese, Charles L.; DiSabatino, Angela; Kolm, Paul; Hopkins, James; Weintraub, William S.; Rahman, Ehsanur

doi:10.1016/j.jacc.2008.08.076

Cited by 128 publications

(65 citation statements)

References 11 publications

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“…Result of our study clearly demonstrated improved survival with PCI in cardiac arrest patients, which were also shown in previous studies [5][6][7][8][9][10]24,25]. Statistical significant mortality benefit was also shown to be present in important subgroups including patients presenting with shock, without shock, patients with shockable rhythms (Vtach/Vfib), patients with non-shockable rhythms (Asystole/PEA), older patients (≥80 years ) and patients with high burden of comorbidities as indicated by CCI ≥ 2.…”

Section: Discussionsupporting

confidence: 90%

Impact of Percutaneous Coronary Intervention on in Hospital Mortality in Cardiac Arrest – A National Perspective

Tripathi¹,

Arora²,

Panaich³

et al. 2016

Angiol

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Section: Discussionsupporting

confidence: 90%

Impact of Percutaneous Coronary Intervention on in Hospital Mortality in Cardiac Arrest – A National Perspective

Tripathi¹,

Arora²,

Panaich³

et al. 2016

Angiol

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“…79,80 Access to PCI Up to 70% of patients with OHCA have coronary artery disease. Although 50% have acute coronary occlusion, [81][82][83][84][85][86][87][88][89][90][91] only a minority of patients with OHCA with ROSC who were transported to hospital have an ST-segment elevation on a 12-lead ECG. 92,93 Mortality after emergent angiography for STEMI patients in the setting of post-ROSC OHCA is greater than that in the setting of STEMI alone.…”

Section: Referring and Receiving Facilitiesmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

McCarthy¹,

Carr²,

Sasson³

et al. 2018

Circulation

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ABSTRACT:The American Heart Association previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, emergency medical services, and hospital efforts to measure and improve the process of care and outcome for patients with cardiac arrest. In addition, the American Heart Association proposed a national process to develop and implement evidence-based guidelines for cardiac resuscitation systems of care. Significant experience has been gained with implementing these systems, and new evidence has accumulated. This update describes recent advances in the science of cardiac resuscitation systems and evidence of their effectiveness, as well as recent progress in dissemination and implementation throughout the United States. Emphasis is placed on evidence published since the original recommendations (ie, including and since 2010). Cardiac arrest is loss of mechanical activity of the heart confirmed by the absence of signs of circulation.1 Approximately 356 461 people are treated for out-of-hospital cardiac arrest (OHCA) annually in the United States.2 One third of cases occur without any prior recognized heart disease; half occur without any prodromal symptoms.3 Despite robust systems of care for patients with trauma and rapidly evolving systems of care for patients with ST-segment-elevation myocardial infarction (STEMI) and stroke, the majority of communities do not achieve optimal survival after OHCA because of large discrepancies in resuscitation-related processes of care.4-6 As a result, survival to hospital discharge varies significantly both across different regions and by presenting rhythm. 7,8 Survival increases significantly if the OHCA is quickly recognized and responded to with prompt activation of 9-1-1, bystander-initiated cardiopulmonary resuscitation (CPR), bystander and/or basic first responder application of an automated external defibrillator (AED) before arrival of other emergency medical services (EMS) providers on scene, advanced life support, and postresuscitation care. The American Heart Association (AHA) previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, EMS, and hospital efforts to measure and improve the process and outcome of care for patients with cardiac arrest.10 Simultaneously, the AHA proposed a national process to develop and implement evidence-based guidelines for the implementation and measurement of such systems. The 2015 AHA guidelines for CPR and emergency cardiovascular care delved deeper into the elements of an effective system of care for both OHCA and in-hospital cardiac arrest.11 This update on OHCA resuscitation systems of care describes recent advances, evidence

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“…25 A number of other observational series have indicated high procedural success rates and in-hospital survival rates between 60% and 78%, with early coronary angiography for patients with STEMI after OHCA. 24,26,61,62 Although an urgent interventional approach for OHCA with STEMI is recommended, the role of urgent coronary angiography in patients with OHCA and non-STEMI is uncertain. Many clinicians may advocate waiting to assess neurological recovery before proceeding to angiography.…”

Section: Management Of Acute Coronary Syndrome In the Ohca Patientmentioning

confidence: 99%

Post Cardiac Arrest Syndrome

et al. 2011

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Survival and Neurologic Recovery in Patients With ST-Segment Elevation Myocardial Infarction Resuscitated From Cardiac Arrest

Abstract: When resuscitated patients with STEMI are being evaluated in the emergency department, serious consideration should be given to emergent angiography and revascularization, regardless of neurologic status.

Cited by 128 publications

References 11 publications

Impact of Percutaneous Coronary Intervention on in Hospital Mortality in Cardiac Arrest – A National Perspective

Impact of Percutaneous Coronary Intervention on in Hospital Mortality in Cardiac Arrest – A National Perspective

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

Post Cardiac Arrest Syndrome

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