scholarly journals Epidemiology of cardiogenic shock and cardiac arrest complicating non‐ST‐segment elevation myocardial infarction: 18‐year US study

2021 ◽  
Author(s):  
Saraschandra Vallabhajosyula ◽  
Jacob C. Jentzer ◽  
Abhiram Prasad ◽  
Lindsey R. Sangaralingham ◽  
Kianoush Kashani ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Arrest ◽  
Cardiogenic Shock ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Pre-admission cardiac arrest in ST-segment elevation myocardial infarction: incidence, predictors and related outcomes

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
G.N.D Araujo ◽  
J.L Luchese ◽  
A.T Theobald ◽  
R.B Beltrame ◽  
G.M Machado ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Arrest ◽  
Hospital Mortality ◽  
Cardiogenic Shock ◽  
St Segment Elevation ◽  
Predictors Of Mortality ◽  
Segment Elevation Myocardial Infarction ◽  
Shockable Rhythm ◽  
St Segment ◽  
Temporary Pacemaker

Abstract Background/Introduction ST segment elevation myocardial infarction (STEMI) is a frequent cause of Cardiac Arrest (CA), and early percutaneous coronary intervention is associated with increased hospital survival in these patients. Despite constant improvements in out-of-hospital CA management, survival remains low. Purpose Our aim was to assess pre-admission CA incidence, predictors and related outcomes in patients admitted with STEMI. Methods We prospectively included 1083 patients admitted with STEMI in a tertiary university hospital in southern Brazil between March 2011 and October 2019. All patients were submitted to emergency coronary angiography. Baseline characteristics, details of the procedure, reperfusion strategies, and in-hospital outcomes were evaluated. Results Mean age was 60.8 years (± 12), 66.2% were male, 62% had hypertension and 25.3% had diabetes. Pre-admission CA was present in 104 (9.8%) patients. Patients with CA had more frequently previous myocardial infarction, temporary pacemaker, smoking and Killip 3 or 4 on admission, and shorter pain–to-door time than patients without CA. In addition, CA patients had a higher incidence of periprocedural CA, cardiogenic shock and periprocedural and in-hospital mortality. In multivariate analysis, age (RR= 0.96, p=0.001), anterior MI (RR=1.67, p=0.04) smoking (RR=0.57, p=0.04), previous ASA use (RR=0.40, p=0.02), Killip 3 or 4 (RR=14.71, p<0.001), temporary pacemaker (RR 2.53, p=0.01), pain-to-door time (RR=0.99, p=0.017) were independently associated with CA. Non Shockable Rhythm (RR=7.37, p=0.017), ROSC duration (RR=1.05, p=0.02) and cardiogenic shock (RR=31.2, p=0.003) were independent predictors of mortality among patients admitted with CA. Conclusion In this cohort of consecutive patients admitted with STEMI, pre-admission CA incidence was greater than seen in literature. Cardiogenic shock and in-hospital mortality were more common in patients admitted with CA, which may in part explain our higher rate of overall in-hospital mortality. Non shockable rhythm, increased ROSC and cardiogenic shock were independent predictors of mortality among patients admitted with CA. Understanding these characteristics may help taking measures to lower mortality rates. Funding Acknowledgement Type of funding source: None

Cardiogenic shock and cardiac arrest complicating ST-segment elevation myocardial infarction in the United States, 2000–2017

Resuscitation ◽  
2020 ◽  
Vol 155 ◽  
pp. 55-64
Author(s):  
Saraschandra Vallabhajosyula ◽  
Shannon M. Dunlay ◽  
Abhiram Prasad ◽  
Lindsey R. Sangaralingham ◽  
Kianoush Kashani ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
Cardiac Arrest ◽  
Cardiogenic Shock ◽  
The United States ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

scholarly journals Cardiogenic shock from acute ST-segment elevation myocardial infarction induced by severe multivessel coronary vasospasm

2013 ◽  
Vol 35 (3) ◽  
pp. 146-146 ◽  
Author(s):  
Pan-Pan Hao ◽  
Rui Shang ◽  
Yan-Ping Liu ◽  
Gui-Hua Hou ◽  
Ming-Xiang Zhang ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Coronary Vasospasm ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Cardiogenic Shock Complicating Non-ST-Segment Elevation Myocardial Infarction: An 18-Year Study

2021 ◽  
Author(s):  
Saraschandra Vallabhajosyula ◽  
Huzefa M Bhopalwala ◽  
Pranathi R Sundaragiri ◽  
Nakeya Dewaswala ◽  
Wisit Cheungpasitporn ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment
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