Cardiac catheterization is underutilized after in-hospital cardiac arrest

Merchant, Raina M.; Abella, Benjamin S.; Khan, Mohammad Qasim; Huang, Kuang Ning; Beiser, David G.; Neumar, Robert W.; Carr, Brendan G.; Becker, Lance B.; Hoek, Terry L. Vanden

doi:10.1016/j.resuscitation.2008.07.015

Cited by 43 publications

(28 citation statements)

References 24 publications

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“…79,80 Access to PCI Up to 70% of patients with OHCA have coronary artery disease. Although 50% have acute coronary occlusion, [81][82][83][84][85][86][87][88][89][90][91] only a minority of patients with OHCA with ROSC who were transported to hospital have an ST-segment elevation on a 12-lead ECG. 92,93 Mortality after emergent angiography for STEMI patients in the setting of post-ROSC OHCA is greater than that in the setting of STEMI alone.…”

Section: Referring and Receiving Facilitiesmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

McCarthy¹,

Carr²,

Sasson³

et al. 2018

Circulation

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ABSTRACT:The American Heart Association previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, emergency medical services, and hospital efforts to measure and improve the process of care and outcome for patients with cardiac arrest. In addition, the American Heart Association proposed a national process to develop and implement evidence-based guidelines for cardiac resuscitation systems of care. Significant experience has been gained with implementing these systems, and new evidence has accumulated. This update describes recent advances in the science of cardiac resuscitation systems and evidence of their effectiveness, as well as recent progress in dissemination and implementation throughout the United States. Emphasis is placed on evidence published since the original recommendations (ie, including and since 2010). Cardiac arrest is loss of mechanical activity of the heart confirmed by the absence of signs of circulation.1 Approximately 356 461 people are treated for out-of-hospital cardiac arrest (OHCA) annually in the United States.2 One third of cases occur without any prior recognized heart disease; half occur without any prodromal symptoms.3 Despite robust systems of care for patients with trauma and rapidly evolving systems of care for patients with ST-segment-elevation myocardial infarction (STEMI) and stroke, the majority of communities do not achieve optimal survival after OHCA because of large discrepancies in resuscitation-related processes of care.4-6 As a result, survival to hospital discharge varies significantly both across different regions and by presenting rhythm. 7,8 Survival increases significantly if the OHCA is quickly recognized and responded to with prompt activation of 9-1-1, bystander-initiated cardiopulmonary resuscitation (CPR), bystander and/or basic first responder application of an automated external defibrillator (AED) before arrival of other emergency medical services (EMS) providers on scene, advanced life support, and postresuscitation care. The American Heart Association (AHA) previously recommended implementation of cardiac resuscitation systems of care that consist of interconnected community, EMS, and hospital efforts to measure and improve the process and outcome of care for patients with cardiac arrest.10 Simultaneously, the AHA proposed a national process to develop and implement evidence-based guidelines for the implementation and measurement of such systems. The 2015 AHA guidelines for CPR and emergency cardiovascular care delved deeper into the elements of an effective system of care for both OHCA and in-hospital cardiac arrest.11 This update on OHCA resuscitation systems of care describes recent advances, evidence

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Section: Referring and Receiving Facilitiesmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

McCarthy¹,

Carr²,

Sasson³

et al. 2018

Circulation

Self Cite

View full text Add to dashboard Cite

show abstract

“…Of those who underwent catheterization, 17 patients had a successful PCI. 112 In post-IHCA patients, management of suspected AMI should be similar to management of AMI in the nonarrest population; however, the extension of indications for immediate PCI beyond ST-segment-elevation myocardial infarction or new left bundle-branch block remains controversial. A recent observational study of survivors of OHCA who were treated with therapeutic hypothermia and selected for cardiac catheterization demonstrated that at least 1 significant coronary lesion existed in 58% of patients without any ST-segment elevation.…”

Section: Coronary Reperfusion For St-segment Elevation Myocardialmentioning

confidence: 99%

Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations

Morrison¹,

Neumar²,

Zimmerman³

et al. 2013

Circulation

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266

182

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“…Accumulating clinical data now show that up to 70% of OHCA patients have coronary artery disease, and nearly half have an acute coronary occlusion. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] These data underscore the importance of early coronary angiography, and reperfusion in these patients is likely similar to that in STEMI patients who have not had a CA.…”

mentioning

confidence: 99%

Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers

Peberdy¹,

Donnino²,

Callaway³

et al. 2013

Circulation

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Cardiac catheterization is underutilized after in-hospital cardiac arrest

Cited by 43 publications

References 24 publications

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations

Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers

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