지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 37 - 45 (9page)
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초록· 키워드
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Background: Coronary artery stenosis increases hospital mortality and leads to poor neurologicalrecovery in cardiac arrest (CA) patients. However, electrocardiography (ECG) cannotfully predict the presence of coronary artery stenosis in CA patients. Hence, we aimed to determinewhether regional wall motion abnormality (RWMA), as observed by two-dimensionalechocardiography (2DE), predicted patient survival outcomes with greater accuracy than didST segment elevation (STE) on ECG in CA patients who underwent coronary angiography(CAG) after return of spontaneous circulation. Methods: This was a retrospective observational study of adult patients with CA of presumedcardiac etiology who underwent CAG at a single tertiary care hospital. We investigatedwhether RWMA observed on 2DE predicted patient outcomes more accurately than did STEobserved on ECG. The primary outcome was incidence of hospital mortality. The secondaryoutcomes were Glasgow-Pittsburgh Cerebral Performance Category scores measured 6months after discharge and significant coronary artery stenosis on CAG. Results: Among the 145 patients, 36 (24.8%) experienced in-hospital death. In multivariableanalysis of survival outcomes, only total arrest time (P=0.011) and STE (P=0.035) were significant. The odds ratio (OR) and 95% confidence interval (CI), which were obtained by adjustingthe total arrest time for survival outcomes, were significant only for STE (OR, 0.40;95% CI, 0.17?0.94). The presence of RWMA was not a significant factor. Conclusions: While STE predicted survival outcomes in adult CA patients, RWMA did not. Thedecision to perform CAG after CA should include ECG under existing guidelines. The use ofRWMA has limited benefits in treatment of this population.
목차
등록된 정보가 없습니다.
참고문헌 (32)
참고문헌 신청
Spaulding CM / 1997 / Immediate coronary angiography in survivors of out-of-hospital cardiac arrest / N Engl J Med 336:1629~1633
Lemkes JS / 2019 / Coronary angiography after cardiac arrest without ST-segment elevation / N Engl J Med 380:1397~1407
Jentzer JC / 2018 / Early coronary angiography and percutaneous coronary intervention are associated with improved outcomes after out of hospital cardiac arrest / Resuscitation 123:15~21
Reynolds JC / 2009 / Coronary angiography predicts improved outcome following cardiac arrest : propensity-adjusted analysis / J Intensive Care Med 24:179~186
Callaway CW / 2015 / Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 132(18 Suppl 2):S465~S482
Lemkes JS / 2019 / Coronary angiography after cardiac arrest without ST-segment elevation / N Engl J Med 380:1397~1407
Jentzer JC / 2018 / Early coronary angiography and percutaneous coronary intervention are associated with improved outcomes after out of hospital cardiac arrest / Resuscitation 123:15~21
Reynolds JC / 2009 / Coronary angiography predicts improved outcome following cardiac arrest : propensity-adjusted analysis / J Intensive Care Med 24:179~186
Callaway CW / 2015 / Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 132(18 Suppl 2):S465~S482
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