Mar 12, 2002

The epidemiology of out-of-hospital 'sudden' cardiac arrest

Resuscitation
J EngdahlJ Herlitz

Abstract

It is difficult to assemble data from an out-of-hospital cardiac arrest since there is often lack of objective information. The true incidence of sudden cardiac death out-of-hospital is not known since far from all of these patients are attended by emergency medical services. The incidence of out-of-hospital cardiac arrest increases with age and is more common among men. Among patients who die, the probability of having a fatal event outside hospital decreases with age; i. e. younger patients tend to more often die unexpectedly and outside hospital. Among the different initial arrhythmias, ventricular fibrillation is the most common among patients with cardiac aetiology. The true distribution of initial arrhythmias is not known since several minutes most often elapse between collapse and rhythm assessment. Most patients with out-of-hospital cardiac arrest have a cardiac aetiology. Out-of-hospital cardiac arrests most frequently occur in the patient's home, but the prognosis is shown to be better when they occur in a public place. Witnessed arrest, ventricular fibrillation as initial arrhythmia and cardiopulmonary resuscitation are important predictors for immediate survival. In the long-term perspective, cardiac arrest in conne...Continue Reading

  • References119
  • Citations88

References

  • References119
  • Citations88

Citations

Mentioned in this Paper

Ventricular Fibrillation
Myocardial Infarction
Sudden Cardiac Arrest
Etiology
Cardiopulmonary
Epidemiology
Old Myocardial Infarction
Sudden Cardiac Death
Cardiac Arrhythmia
Acute Myocardial Infarction Pathway

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