Document Detail


Prognosis and clinical follow-up of patients resuscitated from out-of hospital cardiac arrest.
MedLine Citation:
PMID:  3673665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new organization has been formed in which ambulance personnel have been trained to recognize ventricular tachycardia and ventricular fibrillation (VF) and to defibrillate. Cardiac arrest (CA) occurred in 307 patients and 140 were defibrillated. Twenty-eight patients were resuscitated and admitted for further hospital care. A previous history of ischaemic heart disease was found in 24 patients. Twenty-two of the patients admitted were found to have VF, two asystole and four other rhythms. All 11 survivors regained circulation at the site of the CA. At the time of admission all but one of the patients were unconscious and one long-time survivor remained unconscious until the 5th day following admission. Seventeen patients died while still in hospital. In 16 cases a diagnosis of acute myocardial infarction was established, a further six had VF without evidence of acute myocardial infarction and six had other diagnoses. Ten out of the 11 survivors were still alive six months after discharge. Only one case of recurrent VF was seen during a median follow-up period of 16 months. Prolonged coma, especially in combination with convulsions, was associated with a poor prognosis, while early return of circulation was significantly more common among survivors. Ongoing medication with beta-blockers, a high QRS rate on admission and VF without proof of any acute myocardial infarction were also found to be more common in survivors.
Authors:
J Jakobsson; O Nyquist; N Rehnqvist; R Nordlander; H Aström; H Vallin; I Liljefors
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta medica Scandinavica     Volume:  222     ISSN:  0001-6101     ISO Abbreviation:  Acta Med Scand     Publication Date:  1987  
Date Detail:
Created Date:  1987-12-11     Completed Date:  1987-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370330     Medline TA:  Acta Med Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  123-32     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, Danderyd Hospital, Stockholm, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ambulances*
Electric Countershock
Electrocardiography
Female
Follow-Up Studies
Heart Arrest / diagnosis,  mortality*,  therapy
Humans
Male
Middle Aged
Patient Discharge
Prognosis
Resuscitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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