| Postresuscitation accelerated idioventricular rhythm: a potential prognostic factor for out-of-hospital cardiac arrest survivors. | |
| | |
MedLine Citation:
|
PMID: 17457573 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Data are lacking on the relationship between postresuscitation ECG and outcome in out-of-hospital cardiac arrest (OHCA). We examined the prognostic information that postresuscitation ECG rhythm can provide for predicting outcome in OHCA survivors. METHODS: The retrospective observational study enrolled 56 successfully resuscitated nontraumatic adult OHCA patients. Postresuscitation 12-lead ECGs of the enrolled patients were interpreted independently by two cardiologists. We compared baseline clinical characteristics, CPR process, and outcome in the 8 patients with postresuscitation accelerated idioventricular rhythm (AIVR, n = 8) and the 48 without AIVR. RESULTS: The AIVR group had a higher proportion of patients with coronary artery disease (50% vs. 15%), initial ventricular tachycardia/fibrillation rhythm (50% vs. 8%), and cardiac origin of OHCA (75% vs. 23%). AIVR patients had longer total CPR duration (32 vs. 18 min) and higher dose of epinephrine use (10 vs. 3 mg). Postresuscitation AIVR was associated with an increased incidence of repeated CPR within 1 h after return of spontaneous circulation (38% vs. 4%), and lower 7-day survival rate (0% vs. 50%). CONCLUSIONS: AIVR on postresuscitation ECG offers a prognostic factor related to a higher repeated CPR rate within 1h after return of spontaneous circulation and a lower 7-day survival rates in successfully resuscitated OHCA victims. |
| | |
Authors:
|
Min-Shan Tsai; Chien-Hua Huang; Hung-Ren Chen; Cheng-Chun Hsieh; Wei-Tien Chang; Chiung-Yuan Hsu; Matthew Huei-Ming Ma; Shyr-Chyr Chen; Wen-Jone Chen |
Related Documents
:
|
19641463 - Low plasma potassium in deep hypothermic cardiac arrest indicates that cardiac arrest i... 7560473 - Further prospective evidence of a circadian variation in the frequency of call for sudd... 10234723 - Torsades de pointes ventricular tachycardia induced by clarithromycin and disopyramide ... |
Publication Detail:
|
Type: Journal Article Date: 2007-04-25 |
Journal Detail:
|
Title: Intensive care medicine Volume: 33 ISSN: 0342-4642 ISO Abbreviation: Intensive Care Med Publication Date: 2007 Sep |
Date Detail:
|
Created Date: 2007-08-23 Completed Date: 2008-02-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7704851 Medline TA: Intensive Care Med Country: United States |
Other Details:
|
Languages: eng Pagination: 1628-32 Citation Subset: IM |
Affiliation:
|
National Taiwan University Hospital and College of Medicine, Department of Emergency Medicine, No. 7 Chung-Shan S. Road, 100 Taipei, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Accelerated Idioventricular Rhythm
/
epidemiology* Aged Aged, 80 and over Cardiopulmonary Resuscitation* Coronary Artery Disease / epidemiology Electrocardiography Epinephrine / administration & dosage Female Heart Arrest / mortality*, therapy* Humans Male Middle Aged Prognosis Retreatment Retrospective Studies Survival Analysis Survivors* Tachycardia, Ventricular / epidemiology Time Factors Vasoconstrictor Agents / administration & dosage |
| Chemical | |
Reg. No./Substance:
|
0/Vasoconstrictor Agents; 51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pediatric delirium in critical illness: phenomenology, clinical correlates and treatment response in...
Next Document: The effect of activated protein C on plasma cytokine levels in a porcine model of acute endotoxemia.