Obiekt

Tytuł: Urgent coronary angiography and angioplasty - a new element in chain of survival among victims of out-of-hospital cardiac arrest of probable cardiac etiology

Abstrakt:

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. OHCA patients admitted to UCA/PCI had significantly better survival rate than those who were not admitted (43% vs. 11%), but the former were younger, more often conscious on admission, more often had VF/VT and OHCA assisted by medical personnel.

Miejsce wydania:

Kraków

Stopień studiów:

2 - studia doktoranckie

Dyscyplina:

choroby układu krążenia

Instytucja nadająca tytuł:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promotor:

Krzysztof Żmudka

Data wydania:

2012

Format:

application/pdf

Identyfikator:

oai:dl.cm-uj.krakow.pl:3590

Sygnatura:

ZB-118668

ControlNumberVIRTUA:

kliknij tutaj, żeby przejść

Język:

pol

Prawa dostępu:

nieograniczony

Lokalizacja oryginału:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Kolekcje, do których przypisany jest obiekt:

Data ostatniej modyfikacji:

27 cze 2019

Data dodania obiektu:

18 lip 2013

Liczba wyświetleń treści obiektu:

1 291

Liczba wyświetleń treści obiektu w formacie PDF

1293

Wszystkie dostępne wersje tego obiektu:

http://dl.cm-uj.krakow.pl:8080/publication/3590

Wyświetl opis w formacie RDF:

RDF

Wyświetl opis w formacie OAI-PMH:

OAI-PMH

Nazwa wydania Data
ZB-118668 27 cze 2019
×

Cytowanie

Styl cytowania:

Ta strona wykorzystuje pliki 'cookies'. Więcej informacji