The effect of percutaneous coronary intervention in patients suffering from ST-segment elevation myocardial infarction complicated by out-of-hospital cardiac arrest on 30 days survival

Weiser, Christoph; Testori, Christoph; Sterz, Fritz; Schober, Andreas; Stöckl, Mathias; Stratil, Peter; Wallmüller, Christian; Hörburger, David; Spiel, Alexander; Kürkciyan, Istepan; Gangl, Clemens; Herkner, Harald; Hölzer, Michael

doi:10.1016/j.resuscitation.2012.10.011

Cited by 19 publications

(13 citation statements)

References 27 publications

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“…Since the publication of the pioneering study by Spaulding and coworkers in 1997, 1 many observational studies have reported the feasibility and possible survival benefit from an early invasive approach. [2][3][4] In the largest study, successful immediate PCI was found to be an independent factor for short-term survival, regardless of the post-resuscitation ECG findings. 5 On the opposite, several studies found no benefit in using such an interventional strategy and proposed to restrict its use to highly selected patients.…”

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confidence: 92%

Immediate Percutaneous Coronary Intervention Is Associated With Improved Short- and Long-Term Survival After Out-of-Hospital Cardiac Arrest

Géri

Dumas

Bougouin

et al. 2015

Circ: Cardiovascular Interventions

117

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Background-Whether to perform or not an immediate percutaneous coronary intervention (PCI) after out-of-hospital cardiac arrest is still debated. We aimed to evaluate the impact of PCI on short-and long-term survival in out-of-hospital cardiac arrest patients admitted after successful resuscitation. Methods and Results-Between 2000 and 2013, all nontrauma out-of-hospital cardiac arrest patients admitted in a Parisian cardiac arrest center after return of spontaneous circulation were prospectively included. The association between immediate PCI and short-and long-term mortality was analyzed using logistic regression and Cox multivariate analysis, respectively. Propensity score-matching method was used to assess the influence of PCI on short-and long-term survival.

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confidence: 92%

Immediate Percutaneous Coronary Intervention Is Associated With Improved Short- and Long-Term Survival After Out-of-Hospital Cardiac Arrest

Géri

Dumas

Bougouin

et al. 2015

Circ: Cardiovascular Interventions

117

View full text Add to dashboard Cite

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“…Of the 17 studies included in this analysis, 16 (94%) reported data on in-hospital survival5–7 16–24 26–29 and 13 (76%) reported data on survival with favourable neurological outcome 5–7 17 18 20–28. In pooled analysis, we found a significant positive association between the use of early coronary angiography and survival to discharge (OR 2.54 (95% CI 1.94 to 3.33)).…”

Section: Resultsmentioning

confidence: 77%

“…Of the 8699 articles in our initial search, 8592 articles were excluded based on the review of title, or title and abstract. A total of 107 articles were selected for full review, of which 17 articles met our study criteria and were included in the meta-analysis 5–7 16–29…”

Section: Resultsmentioning

confidence: 99%

“…All included studies were cohort studies. Nine of the 17 included studies were single-centre 5 16 17 21 22 25–28. Among the included studies, the median proportion of patients with an initial shockable rhythm was 75% (range: 26%–100%).…”

Section: Resultsmentioning

confidence: 99%

“…The median rate of STEMI was 32%, ranging from 0% to 100%, with three studies (17.6%) conducted exclusively in patients without STEMI on their presenting ECG 18 20 21. Only four studies used methods that adequately adjusted for important confounders with the use of either a propensity score analysis or multivariable logistic regression,6 7 20 26 three reported risk-adjusted estimates for our primary outcome of overall survival,6 7 20 and three for our secondary outcome of favourable neurological survival 6 7 26…”

Section: Resultsmentioning

confidence: 99%

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Early coronary angiography and survival after out-of-hospital cardiac arrest: a systematic review and meta-analysis

et al. 2018

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BackgroundAlthough acute myocardial infarction is a common cause of out-of-hospital cardiac arrest (OHCA), the role of early coronary angiography in OHCA remains uncertain. We conducted a meta-analysis of observational studies to determine the association of early coronary angiography with survival in OHCA.MethodsWe searched multiple electronic databases for published studies on early coronary angiography in OHCA between 1 January 1990 and 18 January 2017. Studies were included if (1) restricted to only OHCA, (2) included an exposure group that underwent early coronary angiography within 1 day of arrest onset and a concurrent control group that did not undergo early coronary angiography, and (3) reported survival outcomes. We used a random-effects model to obtain pooled OR. I2 statistics and Cochran’s Q test were used to determine between-study heterogeneity.ResultsA total of 17 studies with 14 972 patients were included, of whom 6424 (44%) received early coronary angiography. Early coronary angiography was associated with higher odds of survival (pooled OR 2.54 (95% CI 1.94 to 3.33)) and survival with favourable neurological outcome (pooled OR 2.37 (95% CI 1.71 to 3.28)). However, there was substantial heterogeneity in our pooled estimate (I2=88% and p value for Cochran’s test <0.0001 for both outcomes). The large heterogeneity in pooled estimates was reduced after including adjusted estimates when available, and was explained by differences in methodological rigour and characteristics of included studies.ConclusionAmong patients resuscitated from OHCA, early coronary angiography is associated with increased survival to discharge and favourable neurological outcome.

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SCAI expert consensus statement on out of hospital cardiac arrest

Lotfi

Klein

Hira

et al. 2020

Cathet Cardio Intervent

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The effect of percutaneous coronary intervention in patients suffering from ST-segment elevation myocardial infarction complicated by out-of-hospital cardiac arrest on 30 days survival

Cited by 19 publications

References 27 publications

Immediate Percutaneous Coronary Intervention Is Associated With Improved Short- and Long-Term Survival After Out-of-Hospital Cardiac Arrest

Immediate Percutaneous Coronary Intervention Is Associated With Improved Short- and Long-Term Survival After Out-of-Hospital Cardiac Arrest

Early coronary angiography and survival after out-of-hospital cardiac arrest: a systematic review and meta-analysis

SCAI expert consensus statement on out of hospital cardiac arrest

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