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Incidence of cardia...
Incidence of cardiac interventions and associated cardiac arrest outcomes in patients with nonshockable initial rhythms and no ST elevation post resuscitation
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- Harhash, Ahmed A. (författare)
- Univ Arizona, Sarver Heart Ctr, Tucson, AZ 85724 USA.;Univ Vermont, Med Ctr, Burlington, VT USA.,University of Vermont,University of Arizona
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- May, Teresa (författare)
- Maine Med Ctr, Portland, ME 04102 USA.,Maine Medical Center
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- Hsu, Chiu-Hsieh (författare)
- Univ Arizona, Coll Publ Hlth, Tucson, AZ USA.,University of Arizona
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- Seder, David B. (författare)
- Maine Med Ctr, Portland, ME 04102 USA.,Maine Medical Center
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- Dankiewicz, Josef (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Agarwal, Sachin (författare)
- Columbia Univ, New York, NY USA.,Columbia University
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- Patel, Nainesh (författare)
- Lehigh Valley Heart Inst, Allentown, PA USA.,Lehigh Valley Hospital
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- McPherson, John (författare)
- Vanderbilt Univ, Med Ctr, Nashville, TN USA.,Vanderbilt University
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- Riker, Richard (författare)
- Maine Med Ctr, Portland, ME 04102 USA.,Maine Medical Center,Minneapolis Heart Institute
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- Soreide, Eldar (författare)
- Stavanger Univ Hosp, Stavanger, Norway.,Stavanger University Hospital
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- Hirsch, Karen G. (författare)
- Stanford Univ, Stanford, CA 94305 USA.,Stanford University
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- Stammet, Pascal (författare)
- Natl Fire & Rescue Corps, Luxembourg, Luxembourg.,National Fire and Rescue Corps
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- Dupont, Allison (författare)
- Northside Hosp, Lawrenceville, GA USA.,Northside Hospital Atlanta
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- Forsberg, Sune (författare)
- Karolinska Institutet,Stockholm County Council
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- Rubertsson, Sten (författare)
- Uppsala University,Uppsala universitet,Anestesiologi och intensivvård
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- Friberg, Hans (författare)
- Lund University,Lunds universitet,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,SWECRIT,Center for cardiac arrest,Lund University Research Groups
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- Nielsen, Niklas (författare)
- Lund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Kliniska Vetenskaper, Helsingborg,Institutionen för kliniska vetenskaper, Lund,Centrum för hjärtstopp,Forskargrupper vid Lunds universitet,SEBRA Sepsis and Bacterial Resistance Alliance,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Clinical Sciences, Helsingborg,Department of Clinical Sciences, Lund,Center for cardiac arrest,Lund University Research Groups
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- Mooney, Michael R. (författare)
- Minneapolis Heart Inst, Minneapolis, MN USA.
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- Kern, Karl B. (författare)
- Univ Arizona, Sarver Heart Ctr, Tucson, AZ 85724 USA.,University of Arizona
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Univ Arizona, Sarver Heart Ctr, Tucson, AZ 85724 USA;Univ Vermont, Med Ctr, Burlington, VT USA. University of Vermont (creator_code:org_t)
- Elsevier, 2021
- 2021
- Engelska.
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Ingår i: Resuscitation. - : Elsevier. - 0300-9572 .- 1873-1570. ; 167, s. 188-197
- Relaterad länk:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Out of Hospital Cardiac arrest (OHCA) survivors with ST elevation (STE) with or without shockable rhythms often benefit from coronary angiography (CAG) and, if indicated, percutaneous coronary intervention (PCI). However, the benefits of CAG and PCI in OHCA survivors with nonshockable rhythms (PEA/asystole) and no STE are debated.Methods: Using the International Cardiac Arrest Registry (INTCAR 2.0), representing 44 centers in the US and Europe, comatose OHCA survivors with known presenting rhythms and post resuscitation ECGs were identified. Survival to hospital discharge, neurological recovery on discharge, and impact of CAG with or without PCI on such outcome were assessed and compared with other groups (shockable rhythms with or without STE).Results: Total of 2113 OHCA survivors were identified and described as; nonshockable/no STE (Nsh-NST) (n = 940, 44.5%), shockable/no STE (Sh-NST) (n = 716, 33.9%), nonshockable/STE (Nsh-ST) (n = 110, 5.2%), and shockable/STE (Sh-ST) (n = 347, 16.4%). Of Nsh-NST, 13.7% (129) were previously healthy before CA and only 17.3% (161) underwent CAG; of those, 30.4% (52) underwent PCI. A total of 18.6% (174) Nsh-NST patients survived to hospital discharge, with 57.5% (100) of such survivors having good neurological recovery (cerebral performance category 1 or 2) on discharge. Coronary angiography was associated with improved odds for survival and neurological recovery among all groups, including those with NSh-NST.Conclusions: Nonshockable initial rhythms with no ST elevation post resuscitation was the most common presentation after OHCA. Although most of these patients did not undergo coronary angiography, among those who did, 1 in 4 patients had a culprit lesion and underwent revascularization. Invasive CAG should be at least considered for all OHCA survivors, including those with nonshockable rhythms and no ST elevation post resuscitation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Cardiac arrest
- Nonshockable rhythm
- NSTEMI
- Coronary angiography
- Outcomes
- Neurological recovery
- Cardiac arrest
- Coronary angiography
- Neurological recovery
- Nonshockable rhythm
- NSTEMI
- Outcomes
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Harhash, Ahmed A ...
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May, Teresa
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Hsu, Chiu-Hsieh
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Seder, David B.
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Dankiewicz, Jose ...
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Agarwal, Sachin
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visa fler...
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Patel, Nainesh
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McPherson, John
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Riker, Richard
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Soreide, Eldar
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Hirsch, Karen G.
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Stammet, Pascal
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Dupont, Allison
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Forsberg, Sune
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Rubertsson, Sten
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Friberg, Hans
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Nielsen, Niklas
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Mooney, Michael ...
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Kern, Karl B.
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Resuscitation
- Av lärosätet
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Uppsala universitet
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Lunds universitet
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Karolinska Institutet