التفاصيل البيبلوغرافية
| العنوان: |
Outcomes of cardiac catheterization and percutaneous coronary intervention for in-hospital ventricular tachycardia or fibrillation cardiac arrest |
| المؤلفون: |
Venu Menon, Sriharsha D. Subramanya, Stephen G. Ellis, Vidya Nadig, Mehdi H. Shishehbor, Thomas J. Helton |
| المصدر: |
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 80(2) |
| سنة النشر: |
2010 |
| مصطلحات موضوعية: |
Adult, Male, medicine.medical_specialty, Cardiac Catheterization, Time Factors, medicine.medical_treatment, Coronary Artery Disease, Kaplan-Meier Estimate, Ventricular tachycardia, Coronary Angiography, Risk Assessment, Sudden cardiac death, Coronary artery disease, Percutaneous Coronary Intervention, Risk Factors, Internal medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, cardiovascular diseases, Cardiopulmonary resuscitation, Hospital Mortality, Registries, Cardiac catheterization, Aged, Ohio, Proportional Hazards Models, Retrospective Studies, Inpatients, business.industry, Patient Selection, Percutaneous coronary intervention, General Medicine, Middle Aged, medicine.disease, Cardiopulmonary Resuscitation, Heart Arrest, Death, Sudden, Cardiac, Treatment Outcome, Conventional PCI, Ventricular fibrillation, Multivariate Analysis, Ventricular Fibrillation, Cardiology, Tachycardia, Ventricular, Female, Cardiology and Cardiovascular Medicine, business |
| الوصف: |
Objective: This study examined outcomes of patients with sudden cardiac death attributable to primary ventricular tachycardia (VT) or ventricular fibrillation (VF) that underwent cardiac catheterization with or without percutaneous coronary intervention (PCI). Background: The decision to perform cardiac catheterization and PCI in resuscitated patients with sudden cardiac death remains controversial. Prior data suggest a potential benefit from percutaneous revascularization. Methods: All patients with an in-hospital pulseless VT or VF cardiac arrest from August 2002 to February 2008 who underwent cardiac catheterization were included. Retrospective chart review was performed to obtain clinical, neurologic, and angiographic data. Primary endpoints were all-cause mortality and neurologic outcome. Results: Two thousand and thirty-four patients had in-hospital cardiac arrest, of these 116 had pulseless VT or VF and were resuscitated and 93 (80%) underwent coronary angiography. The median time to follow-up was 1.3 years (IQR: 0.5–2.9 years). Obstructive coronary artery disease (CAD) was observed in 74 (79%) individuals, of whom 37 underwent PCI. Thirty-five patients with obstructive CAD (47%) died compared to 41% with nonobstructive CAD. In unadjusted and multivariable adjusted analysis PCI was not associated with lower mortality (adjusted hazard ratio: 1.54, 95% CI, 0.79–3.02, P = 0.20). No significant differences were noted in neurologic status at discharge (P = 0.49). Conclusion: In this study, an aggressive revascularization strategy with PCI did not confer a survival advantage nor was it associated with improved neurologic outcomes. There was no suggestion of harm with PCI and further studies are necessary to identify potential subgroups that may benefit from revascularization. © 2011 Wiley Periodicals, Inc. |
| تدمد: |
1522-726X |
| URL الوصول: |
https://explore.openaire.eu/search/publication?articleId=doi_dedup___::38e9beb1df8d05dbc82c0d2ab0af5c4e
https://pubmed.ncbi.nlm.nih.gov/21735517 |
| حقوق: |
CLOSED |
| رقم الأكسشن: |
edsair.doi.dedup.....38e9beb1df8d05dbc82c0d2ab0af5c4e |
| قاعدة البيانات: |
OpenAIRE |
