Search for: [Abstract = "The main purpose of the study was to evaluate survival and neurological function of out\-of\-hospital cardiac arrest \(OHCA\) patients of probable cardiogenic origin admitted to urgent coronary angiography and angioplasty \(UCA\/PCI\) in invasive cardiology center since 2000 until 2011. In addition, in 2009\-2010, all patients who survived to hospital admission after OHCA in local EMS area were identified and survival of those who were subsequently admitted to UCA\/PCI was compared to those who were not admitted. In 2000\-2011 there was 405 OHCA patients admitted to UCA\/PCI\: 81% were men, average age was 61 years. Most \(78%\) had VF\/VT, 70% were unconscious and 11% had cardiogenic shock on admission. Average time to ROSC was 26,7 min. In about 70% of patients there was ST segment elevation on ECG post\-ROSC. Coronary angiography revealed acute coronary occlusion in 48% and critical coronary stenosis in 26%. Finally, 82% of patients were diagnosed acute coronary syndrome \(ACS\)\: 75% STEMI, 25% NSTEMI. The successful PCI was performed in 70% of patients with ACS. Survival to hospital discharge was 63% and good neurological outcome was 49%. The independent correlates of survival with good neurological state in patients that were initially unconscious were\: absence of shock, cardiac arrest assisted by medical personnel, VF\/VT as a primary mechanism of cardiac arrest and preserved renal function"]

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