Document Detail

Out-of-hospital cardiac arrest in patients with cardiac amyloidosis: presenting rhythms, management and outcomes in four patients.
MedLine Citation:
PMID:  14987790     Owner:  NLM     Status:  MEDLINE    
Primary systemic amyloidosis (AL) is a well-recognized systemic disease, and cardiac amyloidosis accounts for 10% of all nonischemic cardiomyopathies [J S C Med Assoc 97 (2001) 201-206]. The median survival of patients with symptomatic congestive heart failure secondary to cardiac amyloidosis is 4 months [New Engl J Med 336 (1997) 1202-1207; Am J Med 100 (1996) 290-298]. The cause of death in most patients is refractory congestive heart failure or sudden arrhythmic [Mayo Clin Proc 59 (1984) 589-597]. While there are reports of in-hospital arrhythmic deaths in these patients, there are no detailed reports that describe the presentation and management of patients with cardiac amyloidosis who have experienced an out-of-hospital cardiac arrest (OHCA). We describe here our experience with four patients with AL who had an OHCA, including presenting rhythms, interventions, and outcomes.
Erik P Hess; Roger D White
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  60     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-02-27     Completed Date:  2004-06-18     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  105-11     Citation Subset:  IM    
Emergency Medicine, Mayo Clinic, Rochester, MN, USA.
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MeSH Terms
Amyloidosis / complications*,  physiopathology
Cardiomyopathies / complications*,  physiopathology
Defibrillators, Implantable
Fatal Outcome
Follow-Up Studies
Heart Arrest / physiopathology,  therapy*
Heart Failure / physiopathology
Middle Aged
Treatment Outcome
Ventricular Fibrillation / physiopathology,  therapy

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