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Journals / Türk Kardiyoloji Derneği Arşivi / 2019 / Cilt: 47 - Sayı: 1

Outcomes of survivors of ST-segment elevation myocardial infarction complicated by out-of-hospital cardiac arrest: a single-center surveillance study

Hastane dışı kardiyak arrest ile komplike olmuş sağ kalan ST-segment yükselmeli miyokart enfarktüsü hastalarının sonuçları: Tek merkezli sağkalım çalışması

Ufuk Yıldız
Koray Demir
Yalçın Velibey
Emrah Bozbeyoğlu
Tolga Sinan Güvenç
Emre Can Parsova
Özge Güzelburc
Aylin Şafak
Evliya Akdeniz
Ahmet İlker Tekkeşin
Ufuk Sadık Ceylan
Pages
10–20
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

In-hospital mortalitywas significantly higher (18.1% vs. 1.5%; p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of the present study was to evaluate in--hospital and long-term outcomes of ST-segment elevationmyocardial infarction (STEMI) survivors who experiencedout-of-hospital cardiac arrest (OHCA) and underwent primarypercutaneous coronary intervention (PCI) at a high-volumecenter within the STEMI network.Methods: The records of 2681 consecutive STEMI patientswho underwent primary PCI between January 2009 and December2014 at a single center in the STEMI network wereretrospectively analyzed.
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Key Findings & Data:Patients with STEMI complicated byOHCA were compared with a reference group of STEMI patientswho did not experience OHCA.Results: Compared with STEMI survivors without OHCA(n=2587, 96.5%), the frequency of anterior myocardial infarction,duration of hospitalization, rate of in-hospital major adversecardiovascular and cerebrovascular events, and the incidenceof ischemic cerebrovascular disease and major bleedingduring in-hospital follow-up were significantly greater in thosewith OHCA (n=94, 3.5%).
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Conclusion & Impact:In-hospital mortalitywas significantly higher (18.1% vs. 1.5%; p
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of the present study was to evaluate in--hospital and long-term outcomes of ST-segment elevationmyocardial infarction (STEMI) survivors who experiencedout-of-hospital cardiac arrest (OHCA) and underwent primarypercutaneous coronary intervention (PCI) at a high-volumecenter within the STEMI network.Methods: The records of 2681 consecutive STEMI patientswho underwent primary PCI between January 2009 and December2014 at a single center in the STEMI network wereretrospectively analyzed. Patients with STEMI complicated byOHCA were compared with a reference group of STEMI patientswho did not experience OHCA.Results: Compared with STEMI survivors without OHCA(n=2587, 96.5%), the frequency of anterior myocardial infarction,duration of hospitalization, rate of in-hospital major adversecardiovascular and cerebrovascular events, and the incidenceof ischemic cerebrovascular disease and major bleedingduring in-hospital follow-up were significantly greater in thosewith OHCA (n=94, 3.5%). The distribution of age and genderwas similar between the 2 groups. The primary PCI successrate was high and was similar in both groups. In-hospital mortalitywas significantly higher (18.1% vs. 1.5%; p

Özet

Amaç: Bu çalışma hastane dışında kardiyak arrest olmuş (HDKA) ve yüksek volümlü tek bir merkezin ST-segment yükselmeli miyokart enfarktüsü (STYME) ağı içerisinde primer perkütan koroner girişim (PKG) yapılmış STYME hastalarından sağ kalanların hastane içi ve uzun dönem sonuçlarını araştırmayı amaçlamıştır. Yöntemler: Ocak 2009 ile Aralık 2014 arasında tek bir merkezin STYME ağı içerisinde STYME ile hastaneye başvurmuş ve primer PKG uygulanmış 2681 hastayı geriye dönük olarak inceledik. HDKA ile komplike olmuş STYME hastaları ile HDKA olmamış referans STYME hasta grubu karşılaştırıldı. Bulgular: Hastane dışında kardiyak arrest olan STYME sağ kalanlarında (2587, %96.5), HDKA olmayanlara (94, %3.5) göre anteriyor miyokart enfarktüsü, hastanede yatış süresi, hastane içi majör istenmeyen kardiyovasküler ve serebrovasküler olay (MACCE) oranları, hastane içi takipte iskemik serebrovasküler hastalık ve majör kanama belirgin olarak yüksek saptandı. Yaş ve cinsiyet dağılımı her iki grupta benzerdi. Primer PKG başarı oranı her iki grupta da benzer ve yüksek bulundu. HDKA olan STYME hastalarında hastane içi mortalite belirgin olarak yüksek (%18.1’e karşı %1.5, p

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Cite This Article

Yıldız, U., Demir, K., Velibey, Y., Bozbeyoğlu, E., Güvenç, T. S., Parsova, E. C., Güzelburc, Ö., Şafak, A., Akdeniz, E., Tekkeşin, A. İ., Ceylan, U. S. (2022). Outcomes of survivors of ST-segment elevation myocardial infarction complicated by out-of-hospital cardiac arrest: a single-center surveillance study. Türk Kardiyoloji Derneği Arşivi, Cilt: 47 - Sayı: 1, 10–20. https://ajindex.com/articles/631817

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