کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3009370 1578999 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The first documented cardiac arrest rhythm in hospitalized patients with heart failure
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
The first documented cardiac arrest rhythm in hospitalized patients with heart failure
چکیده انگلیسی

BackgroundPatients with heart failure (HF) have abnormal cellular anatomy and myocardial mechanics that may impact the initial rhythm and subsequent outcomes in cardiac arrest (CA).HypothesisPatients with pre-existing HF are less likely to have ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) as the first documented rhythm in CA and have poorer survival than patients without pre-existing HF.PurposeIdentify the first documented cardiac arrest rhythm (FDR) in hospitalized patients with and without a pre-existing history of HF.MethodsWe evaluated 60,389 consecutive, adult, index, pulseless CA events with documented initial rhythm in the National Registry of Cardiopulmonary Resuscitation. The primary endpoint was the FDR in patients with and without a history of pre-existing HF. Secondary endpoints were return of spontaneous circulation (ROSC), survival to discharge, and neurological outcome.ResultsThirty three percent of patients had a pre-existing diagnosis of HF. HF patients were more likely to have VF/pVT (25.9 vs. 23.2%) and less likely to have asystole (34.4 vs. 35.3%, p = <.0001) than non-HF. There was no difference in survival to discharge (18.3 vs. 18.2%, p = .66), or good neurological outcomes (82.2 vs. 83.2%, p = .23) between the groups. Women were less likely to have VF/pVT as the first documented rhythm in both HF and non-HF groups.ConclusionsHospitalized patients with HF are more likely than those without HF to have VF/pVT as the FDR in CA, however the clinical magnitude of this difference is small. Overall survival and neurological outcomes are no different than hospitalized arrest patients without HF.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Resuscitation - Volume 80, Issue 12, December 2009, Pages 1346–1350
نویسندگان
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