Immediate coronary angiography in survivors of out-of-hospital cardiac arrest

The New England Journal of Medicine
Christian SpauldingPierre Carli

Abstract

The incidence of acute coronary-artery occlusion among patients with sudden cardiac arrest outside of the hospital is unknown, and the role of reperfusion therapy has not been determined. We therefore performed immediate coronary angiography and angioplasty when indicated in survivors of out-of-hospital cardiac arrest. Between September 1994 and August 1996, coronary angiography was performed in 84 consecutive patients between the ages of 30 and 75 years who had no obvious noncardiac cause of cardiac arrest. Sixty of the 84 patients had clinically significant coronary disease on angiography, 40 of whom had coronary-artery occlusion (48 percent). Angioplasty was attempted in 37 patients and was technically successful in 28. Clinical and electrocardiographic findings, such as the occurrence of chest pain and the presence of ST-segment elevation, were poor predictors of acute coronary-artery occlusion. The in-hospital survival rate was 38 percent. Multivariate logistic-regression analysis revealed that successful angioplasty was an independent predictor of survival (odds ratio, 5.2; 95 percent confidence interval, 1.1 to 24.5; P=0.04). Acute coronary-artery occlusion is frequent in survivors of out-of-hospital cardiac arrest and i...Continue Reading

References

Apr 1, 1992·Circulation·R I Ogilvie, D Zborowska-Sluis
Aug 1, 1990·Pacing and Clinical Electrophysiology : PACE·H J DeantonioB B Lerman
Oct 15, 1991·The American Journal of Cardiology·A N TenagliaE J Topol
Apr 1, 1988·American Heart Journal·Y S LoC D Swerdlow
Apr 1, 1986·Journal of the American College of Cardiology·P W SerruysW J Remme
Jul 1, 1986·Circulation·R GorlinJ A Ambrose
May 3, 1984·The New England Journal of Medicine·M J Davies, A Thomas
Sep 2, 1993·The New England Journal of Medicine·UNKNOWN GUSTO investigators
Sep 2, 1993·The New England Journal of Medicine·H V Anderson, J T Willerson

❮ Previous
Next ❯

Citations

Sep 25, 2008·JAMA : the Journal of the American Medical Association·Graham NicholUNKNOWN Resuscitation Outcomes Consortium Investigators
Mar 9, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dean D BellDavid Zygun
Sep 1, 2005·Der Anaesthesist·J-H SchiffB W Böttiger
May 12, 2012·Der Anaesthesist·A SchneiderP Teschendorf
Jul 1, 2010·Current Atherosclerosis Reports·Cappi Lay, Neeraj Badjatia
Jul 24, 2013·Journal of Cardiovascular Translational Research·Li-Ming GanRegina Fritsche-Danielson
Oct 22, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·N MongardonA Cariou
Oct 28, 2008·Resuscitation·Raina M MerchantTerry L Vanden Hoek
Mar 12, 2002·Resuscitation·J EngdahlJ Herlitz
Aug 12, 2003·Resuscitation·Christophe MeuneChristian Spaulding
Dec 31, 2002·Journal of the American College of Cardiology·Ivan LaurentJean-François Dhainaut
Feb 13, 2001·The Journal of Emergency Medicine·A T ReisnerD F Brown
Feb 12, 1998·The New England Journal of Medicine·D Zahger
May 17, 2002·The New England Journal of Medicine·Riyad B Abu-LabanVictor M Wood
Dec 19, 2008·The New England Journal of Medicine·Bernd W BöttigerUNKNOWN European Resuscitation Council Study Group
Jun 1, 2012·Therapeutic Hypothermia and Temperature Management·Mariana R GonzalezBenjamin S Abella
Aug 28, 2012·European Heart Journal·UNKNOWN Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC)Doron Zahger
Aug 7, 2013·European Heart Journal·Eloi MarijonXavier Jouven
Jan 12, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·J EngdahlJ Herlitz
Sep 9, 2005·Critical Care Medicine·Benoît VivienBruno Riou
Apr 21, 2007·Critical Care Medicine·Laurent Fauchier, Axel de Labriolle
Feb 27, 2009·Critical Care Medicine·Vegard TusethJan Erik Nordrehaug
May 15, 2007·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Hetti KirvesMaaret Castren
Feb 25, 2006·Emergency Medicine Journal : EMJ·A ShethS A Conrad
Sep 22, 2006·Emergency Medicine Journal : EMJ·D K Pedley, W G Morrison
Oct 22, 2008·American Journal of Physiology. Heart and Circulatory Physiology·Anar DossumbekovaTerry L Vanden Hoek
Mar 27, 2009·Journal of Intensive Care Medicine·Joshua C ReynoldsJon C Rittenberger
Feb 16, 2011·Critical Care : the Official Journal of the Critical Care Forum·Jan Thorsten GräsnerUNKNOWN German Resuscitation Registry Study Group
Apr 15, 2011·Critical Care : the Official Journal of the Critical Care Forum·Enrica GoliaMarco Tubaro
May 17, 2011·Critical Care : the Official Journal of the Critical Care Forum·Pierrick CronierAntoine Vieillard-Baron
Sep 14, 2012·Critical Care : the Official Journal of the Critical Care Forum·Jan WnentJan-Thorsten Gräsner
Jan 8, 2008·Critical Care : the Official Journal of the Critical Care Forum·Dilshan Arawwawala, Stephen J Brett
Mar 30, 2010·Critical Care : the Official Journal of the Critical Care Forum·James M Dargin, Lillian L Emlet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.