Clinical profile of patients with cardiac arrest induced by aortic disease

Jitsuiki, Kei; Ishikawa, Kouhei; Nagasawa, Hiroki; Takeuchi, Ikuto; Iso, Takashi; Kondo, Akihiko; Ohsaka, Hiromichi; Omori, Kazuhiko; Yanagawa, Youichi

doi:10.1016/j.resuscitation.2017.08.016

Cited by 8 publications

(25 citation statements)

References 5 publications

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“…After title/abstract review, 165 papers were evaluated in full text. Of these, 14 [3] , [4] , [6] , [9] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] were included in the qualitative and quantitative synthesis ( Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

Incidence of acute aortic dissections in patients with out of hospital cardiac arrest: A systematic review and meta-analysis of observational studies

Melo

Machado

Caldeira

et al. 2022

IJC Heart & Vasculature

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Objectives Acute Aortic dissection (AAD) may present as out-of-hospital cardiac arrest (OHCA). However, the incidence of this presentation is not well known. Our aim was to perform a systematic review and meta-analysis of all observational studies reporting on the incidence of AAD in patients with OHCA. Methods We searched MEDLINE, CENTRAL, PsycInfo, Web of Science Core Collection and OpenGrey databases from inception to March-2021, for observational studies reporting on the incidence of AAD in patients with OHCA. Data was pooled using a random-effects model of proportions. The primary outcome was the incidence of AAD in OHCA patients. Secondary outcomes were the incidence of type A aortic dissections (TAAD) and type B aortic dissections (TBAD) in OHCA patients, overall mortality following AAD-OHCA and risk of death in AAD-OHCA patients compared to risk of death of non-AAD-OHCA patients. Results Fourteen studies were included. The pooled calculated incidence of OHCA due to AAD was 4.39% (95 %CI: 2.55; 6.8). Incidence of OHCA due to TAAD was 7.18% (95 %CI: 5.61; 8.93) and incidence of OHCA due to TBAD was 0.47% (95 %CI: 0.18; 0.85). Overall mortality following OHCA due to AAD was 100% (95 %CI: 97.62; 100). The risk of death in AAD-OHCA patients compared with non-AAD-OHCA patients was 1.10 (95 %CI: 0.94; 1.30). Conclusion AAD as a cause of OHCA is more frequent than previously thought. Prognosis is dire, as it is invariably lethal. These findings should lead to a higher awareness of AAD when approaching a patient with OHCA and to future studies on this matter.

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Section: Resultsmentioning

confidence: 99%

Incidence of acute aortic dissections in patients with out of hospital cardiac arrest: A systematic review and meta-analysis of observational studies

Melo

Machado

Caldeira

et al. 2022

IJC Heart & Vasculature

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“…The cause of cardiac arrest was determined based on the results of a hearing history, whole-body computed tomography, and/or blood examinations that are carried out routinely for all patients with cardiac arrest in our department. 10,11 Japanese methods of death inquests are unique and are still in developmental stages and are therefore not very systematic. 12 Death inquests were requested by the physician who judged the victim as dead.…”

Section: Methodsmentioning

confidence: 99%

“…We investigated the relationship between the IES‐R score and the age of the victim, sex of the victim (male versus female), cause of cardiac arrest (non‐medical versus medical, suicide versus non‐suicide), place of cardiac arrest (home versus non‐home, public space versus non‐public), witness of cardiac arrest by the subjects or not, death inquests or not, relationship between the victims and relatives (parent versus non‐parent, spouse versus non‐spouse, child versus non‐child), and sex of the relatives (male versus female). The cause of cardiac arrest was determined based on the results of a hearing history, whole‐body computed tomography, and/or blood examinations that are carried out routinely for all patients with cardiac arrest in our department 10,11 …”

Section: Methodsmentioning

confidence: 99%

Prevalence and risk factors for post‐traumatic stress disorder in Japanese relatives of out‐of‐hospital cardiac arrest patients after receiving a pamphlet concerning the grieving process

Yanagawa

Sakamoto

Sugiyama

et al. 2020

Acute Medicine & Surgery

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“…In our department, computed tomography (CT) and biochemical analysis of the blood are routinely performed, if a patient is not in the terminal stage of cancer, or informed consent cannot be obtained to perform the necessary examinations from the family. [45] We performed CT after resuscitation when resuscitation failed to obtain spontaneous circulation but before the declaration of death, or after obtaining stable circulation by resuscitation, as the Japanese tend to request CT imaging rather than an autopsy for determining the cause of death. [6] The exclusion criteria for the present study included patients who experienced cardiopulmonary arrest in the hospital, patients with exogenous CA (trauma, hanging, suffocation, or poisoning), and those who did not undergo a CT examination and blood test.…”

Section: Methodsmentioning

confidence: 99%

“…We also did not examine the loss of sliding sign, as this finding rarely indicates endogenous CA. [45] Modified RUSH was performed via a subxiphoid approach during chest compression and via a parasternal approach during pulse check within 10 s every 2 min.…”

Section: Methodsmentioning

confidence: 99%

An analysis using modified rapid ultrasound for shock and hypotension for patients with endogenous cardiac arrest

Yanagawa

Ohsaka

Nagasawa

et al. 2019

J Emerg Trauma Shock

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Aims: We prospectively investigated whether or not a rapid ultrasound for shock and hypotension (RUSH) examination is useful for managing patients with endogenous cardiac arrest (CA). Settings and Design: A prospective medical chart review in a single hospital. Materials and Methods: From March 2016 to December 2017, we performed a modified RUSH for all patients with out-of-hospital endogenous CA. We investigated the frequency of positive findings on modified RUSH and what kind of diseases could most easily be pinpointed as the cause of CA by the modified RUSH. Results: During the investigation period, 194 participants were enrolled in the present study. They were primarily male, with an average age of 68.8-year-old, and 178/194 (91.7%) died as outpatients. The most frequent cause of CA was cardiogenic, followed by aortic disease, respiratory failure, and stroke except for unknown. There were 14/26 (54%) aortic disease patients who showed positive RUSH findings. Among cases of the aortic disease, only aortic dissections had positive findings. Aside from aortic disease, there were no cases of positive findings of the modified RUSH among the remaining diseases, and all patients with positive findings died. Only pulseless electrical activity (PEA) was a statistically significant factor for positive findings of the modified RUSH in cases of the aortic disease. Conclusions: The present study revealed that, among patients with out-of-hospital endogenous CA, modified RUSH is useful for diagnosing ascending aortic dissection for the detection of hemothorax and/or cardiac tamponade, especially with PEA.

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Clinical profile of patients with cardiac arrest induced by aortic disease

Cited by 8 publications

References 5 publications

Incidence of acute aortic dissections in patients with out of hospital cardiac arrest: A systematic review and meta-analysis of observational studies

Incidence of acute aortic dissections in patients with out of hospital cardiac arrest: A systematic review and meta-analysis of observational studies

Prevalence and risk factors for post‐traumatic stress disorder in Japanese relatives of out‐of‐hospital cardiac arrest patients after receiving a pamphlet concerning the grieving process

An analysis using modified rapid ultrasound for shock and hypotension for patients with endogenous cardiac arrest

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