| Pulseless electrical activity and unsuccessful out-of-hospital resuscitation: what is the cause of death? | |
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MedLine Citation:
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PMID: 18249482 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: To study the cause of deaths after witnessed cardiac arrest followed by pulseless electrical activity and unsuccessful of out-of-hospital resuscitation; and to detect any differences between causes of death determined at autopsy and those inferred from clinical history. METHODS: In this prospective observational study, data were collected from 91 individuals treated by the emergency medical services in three urban communities in southern Finland. RESULTS: Cause of death was determined at autopsy in 59 cases and without autopsy in 32 cases. There were significantly more diagnoses of acute myocardial infarction and fewer of pulmonary embolism and aortic dissection and rupture among cases without autopsy compared with those followed by autopsy. CONCLUSION: In unsuccessful resuscitation from out-of-hospital cardiac arrest with pulseless electrical activity as initial rhythm, an autopsy should be performed to determine the correct cause of death. |
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Authors:
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Ilkka Virkkunen; Laura Paasio; Sanna Ryynänen; Arno Vuori; Antti Sajantila; Arvi Yli-Hankala; Tom Silfvast |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-02-04 |
Journal Detail:
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Title: Resuscitation Volume: 77 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-04-08 Completed Date: 2008-08-26 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 207-10 Citation Subset: IM |
Affiliation:
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Tampere University Hospital, Department of Surgery and Anaesthesiology, PO Box 2000, FIN-33521 Tampere, Finland. ilkka.virkkunen@uta.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Autopsy Cardiopulmonary Resuscitation* Cause of Death* Electrophysiologic Techniques, Cardiac / mortality* Emergency Medical Services Female Finland / epidemiology Heart Arrest / mortality*, therapy* Humans Male Pulse / mortality* Treatment Failure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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