| The dependence of successful resuscitation on electrocardiographically documented cardiac rhythm in case of out-of-hospital cardiac arrest. | |
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MedLine Citation:
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PMID: 17998797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the influence of electrocardiographically documented cardiac rhythm during sudden cardiac arrest on successful resuscitation among out-of-hospital deaths in Kaunas city. MATERIAL AND METHODS: An observational prospective study was conducted between 1 January, 2005, and 30 December, 2005, in Kaunas city with a population of 360,627 inhabitants. In this period, all cases of cardiac arrest were analyzed according to the guidelines of the Utstein consensus conference. Cardiac arrest (both of cardiac and noncardiac etiology) was confirmed in 72 patients during one year. Effective cardiopulmonary resuscitation was performed in 18 patients. RESULTS: The total number of deaths from all causes in Kaunas during 1-year study period was 6691. Sixty-two patients due to sudden death of cardiac etiology were resuscitated by emergency medical services personnel. Return of spontaneous circulation was achieved in 11 patients. Ventricular fibrillation was observed in 33 (53.2%) patients. Asystole was present in 11 (17.7%) and other rhythms in 18 (29.1%) cases. Patients with ventricular fibrillation as an initial rhythm were more likely to be successfully resuscitated than patients with asystole. CONCLUSIONS: Ventricular fibrillation was the most common electrocardiographically documented cardiac rhythm registered during cardiac arrest in out-of-hospital settings. Ventricular fibrillation as a mechanism of cardiac arrest was associated with major cases of successful resuscitation. |
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Authors:
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Nedas Jasinskas; Dinas Vaitkaitis; Vidas Pilvinis; Lina Jancaityte; Gailute Bernotiene; Paulius Dobozinskas |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: Medicina (Kaunas, Lithuania) Volume: 43 ISSN: 1648-9144 ISO Abbreviation: Medicina (Kaunas) Publication Date: 2007 |
Date Detail:
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Created Date: 2007-11-13 Completed Date: 2008-01-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9425208 Medline TA: Medicina (Kaunas) Country: Lithuania |
Other Details:
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Languages: eng Pagination: 798-802 Citation Subset: IM |
Affiliation:
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Department of Disaster Medicine, Kaunas University of Medicine, Kaunas, Lithuania. jasinedas@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiopulmonary Resuscitation* Consensus Development Conferences as Topic Data Collection Data Interpretation, Statistical Death, Sudden, Cardiac Electric Countershock Electrocardiography* Female Heart Arrest / mortality, therapy* Heart Rate* Humans Male Middle Aged Outpatients Practice Guidelines as Topic Prospective Studies Time Factors Ventricular Fibrillation / diagnosis, mortality, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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