| Immediate coronary angiography in survivors of out-of-hospital cardiac arrest. | |
| | |
MedLine Citation:
|
PMID: 9171064 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: Acute coronary-artery occlusion is frequent in survivors of out-of-hospital cardiac arrest and is predicted poorly by clinical and electrocardiographic findings. Accurate diagnosis by immediate coronary angiography can be followed in suitable candidates by coronary angioplasty, which seems to improve survival. |
| | |
Authors:
|
C M Spaulding; L M Joly; A Rosenberg; M Monchi; S N Weber; J F Dhainaut; P Carli |
Related Documents
:
|
1828144 - Monitoring functional patency of percutaneous transluminal angioplasty. 9293824 - Saphenous vein versus polytetrafluoroethylene carotid patch angioplasty. 8517424 - Rehospitalizations after coronary revascularization among medicare beneficiaries. 9120174 - Randomized comparison of primary coronary angioplasty with thrombolytic therapy in low ... 8915994 - Electrocardiographic observation on spontaneously occurring arrhythmias in chickens. 16567294 - Electrophysiological consequence of skeletal myoblast transplantation in normal and inf... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The New England journal of medicine Volume: 336 ISSN: 0028-4793 ISO Abbreviation: N. Engl. J. Med. Publication Date: 1997 Jun |
Date Detail:
|
Created Date: 1997-06-05 Completed Date: 1997-06-05 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0255562 Medline TA: N Engl J Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1629-33 Citation Subset: AIM; IM |
Affiliation:
|
Department of Cardiology, Cochin Hospital, René Descartes University, Paris, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Angioplasty, Transluminal, Percutaneous Coronary Coronary Angiography* Coronary Disease / complications, diagnosis*, mortality, therapy Electrocardiography Female Heart Arrest / etiology, radiography* Humans Logistic Models Male Middle Aged Multivariate Analysis Prospective Studies Survival Analysis Survivors |
| Comments/Corrections | |
Comment In:
|
N Engl J Med. 1997 Oct 30;337(18):1321-2
[PMID:
9380089
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Membrane and morphological changes in apoptotic cells regulated by caspase-mediated activation of PA...
Next Document: Epidural corticosteroid injections for sciatica due to herniated nucleus pulposus.