| Survivors of ventricular tachyarrhythmias due to a transient or reversible disorder have a high recurrence rate of lethal cardiac events. | |
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MedLine Citation:
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PMID: 12204456 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The recurrence rate of lethal cardiac events after the survival of a primary cardiac arrest in patients not having received an implantable cardioverter defibrillator (ICD) is investigated. BACKGROUND: According to current guidelines, only a small percentage of patients after successful cardiopulmonary resuscitation due to an underlying cardiac problem are eligible for the implantation of an ICD. METHODS: For retrospective analysis, we used a data registry of patients admitted to an emergency department after cardiac arrest. Patients who had a primary cardiac cause for their cardiac arrest and who did not die within the first month after successful restoration of spontaneous circulation were selected. RESULTS: From 1246 patients, 360 met the inclusion criteria. A second lethal cardiac event occurred in 94 (26%). Of those 94 patients, 57 (61%) had good neurological function before their second cardiac arrest. Of the survivors with good neurological function, 47 (82%) did not have an ICD or a cardiac transplant. Another cardiac arrest due to a primary cardiac event occurred in 34 (72%) of these patients. CONCLUSIONS: Cardiac arrest survivors without an apparent indication for an ICD have a high risk of suffering from a re-arrest of cardiac origin. |
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Authors:
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Andreas Kliegel; Philip Eisenburger; Fritz Sterz; Michael Holzer; Heidrun Losert; Christof Havel; Günter Stix; Anton N Laggner |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 54 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-09-02 Completed Date: 2003-04-01 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: 237-43 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, University of Vienna, Vienna, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Female Heart Arrest / etiology* Humans Male Middle Aged Recurrence Retrospective Studies Tachycardia, Ventricular / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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