2010 and Cardiac Arrest - Cardiovascular Update

Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

Dr. Smith's ECG Blog

JUNE 27, 2024

A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. N Engl J Med [Internet] 2019;Available from: [link] Should all patients with shockable arrest be taken to angiography regardless of STEMI or No STEMI?

Defibrillator

Defibrillator Cardiac Arrest STEMI Chest Pain

Comorbidities prior to out-of-hospital cardiac arrest and diagnoses at discharge among survivors

Open Heart

NOVEMBER 14, 2023

Background Out-of-hospital cardiac arrest (OHCA) has a dismal prognosis with overall survival around 10%. Previously, 80% of sudden cardiac arrest have been attributed to coronary artery disease. We studied comorbidities and discharge diagnoses in OHCA in all of Sweden.

Cardiac Arrest

Cardiac Arrest Coronary Artery Disease Hospital Heart Failure

Which Matters More for Out‐of‐Hospital Cardiac Arrest Survival: Witnessed Arrest or Bystander Cardiopulmonary Resuscitation?

Journal of the American Heart Association

FEBRUARY 8, 2025

BackgroundDespite the wellknown importance of witnessed arrest and bystander cardiopulmonary resuscitation (CPR) for outofhospital cardiac arrest outcomes, previous studies have shown significant statistical inconsistencies. The W+B+ group exhibited the highest prehospital ROSC rate (14.0%).

Cardiac Arrest

Cardiac Arrest Hospital Defibrillator Outcomes

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Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

OCTOBER 20, 2013

What is the utility of a head CT in cardiac arrest? We studied this and published the abstract below in 2010. We found intracranial hemorrhage in 2% of non-traumatic cardiac arrest patients, and in 4 others the presence of cerebral edema changed management. Chicago November 2010. Kurkciyan et al.

Cardiac Arrest

Cardiac Arrest STEMI Hemorrhage Hospital

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Dr. Smith's ECG Blog

APRIL 24, 2015

ST depression is common BOTH after resuscitation from cardiac arrest and during atrial fib with RVR. Again, it is common to have an ECG that shows apparent subendocardial ischemia after resuscitation from cardiac arrest, after defibrillation, and after cardioversion. Academic Emergency Medicine 17(s1):S194; May 2010

Cardiac Arrest

Cardiac Arrest Defibrillator Atrial Fibrillation Ischemia

Cardiac arrest, LBBB with STEMI on the ECG, but no Acute Coronary Syndrome!

Dr. Smith's ECG Blog

SEPTEMBER 20, 2011

This 80 year old with a history of CABG had a cardiac arrest. Now, it is true that shortly after a non-ACS cardiac arrest, there can be transient diffuse ST depression, but not ST elevation in a coronary distribution, and there should not be a wall motion abnormality. This is as clear a STEMI as you can get.

Cardiac Arrest

Cardiac Arrest STEMI Ultrasound Chest Pain

Impact of Updating the Cardiopulmonary Resuscitation Guidelines on Out?of?Hospital Shockable Cardiac Arrest: A Population?Based Cohort Study in Japan

Journal of the American Heart Association

FEBRUARY 16, 2024

However, few national population‐based studies have investigated the comprehensive effectiveness of those updates for out‐of‐hospital cardiac arrest due to shockable rhythms. in 2006, and 3.01 in 2015). in 2006, and 3.01

Cardiac Arrest

Cardiac Arrest Hospital Outcomes

ECG Blog #388 — Why Does Lead V1 Look Funny?

Ken Grauer, MD

JULY 29, 2023

The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. Does this ECG in Figure-1 provide clue(s) to the etiology of this patient's cardiac arrest? I suspected the answer resides in the reason why an 18-year woman might have a cardiac arrest.

Blog

Blog Cardiac Arrest Cardiomyopathy Hospital

Main operating room deliveries for patients with high-risk cardiovascular disease

Open Heart

FEBRUARY 14, 2023

Study design We performed a retrospective evaluation of pregnant patients with high-risk CVD who delivered in the main OR at a large academic centre between January 2010 and March 2021. We examined demographic, anaesthetic and procedure-related variables and in-hospital maternal and fetal outcomes.

Cardiovascular Disease

Cardiovascular Disease Congenital Heart Disease Cardiomyopathy Cardiac Arrest

Abstract 022: Acute Kidney Injury in Subarachnoid Hemorrhage: Exploring its Clinical Significance and Prognostic Implications

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Further research and attention to this area are crucial for improving patient outcomes and guiding clinical interventions in this challenging condition.MethodsICD‐10‐CM codes were used to query the National Inpatient Sample (NIS) for patients with AIS between 2010 and 2019. Patients with AKI were on average older (63.29

Hemorrhage

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction

ECG Blog #373 — 86yo and this Rhythm.

Ken Grauer, MD

APRIL 9, 2023

As discussed in ECG Blog #108 — AIVR generally occurs in one of the following C linical S ettings : i ) As a rhythm during cardiac arrest; ii ) In the monitoring phase of acute MI ( especially with inferior MI ) ; or , iii ) As a reperfusion arrhythmia ( ie, following thrombolysis, acute angioplasty, or spontaneous reperfusion ).

Blog

Blog Chest Pain Arrhythmia Cardiac Arrest

Can a Medical Record Predict Cardiac Arrest Risk?

DAIC

JUNE 14, 2024

Getty Images milla1cf Fri, 06/14/2024 - 19:30 June 14, 2024 — Until now, known risk factors for cardiac arrest have been limited to cardiovascular conditions such as hypertension and high cholesterol. Upward of 400,000 people suffer a cardiac arrest every year in the U.S.,” The findings appear in the journal Circulation.

Cardiac Arrest

Cardiac Arrest Public Health Risk Factors Research

Incidence and Long?Term Outcomes of Acute Myocardial Infarction Among Survivors of Out?of?Hospital Cardiac Arrest

Journal of the American Heart Association

DECEMBER 29, 2023

BackgroundDespite the increasing long‐term survival after out‐of‐hospital cardiac arrest (OHCA), the risk of subsequent acute myocardial infarction (AMI) remains poorly understood. Journal of the American Heart Association, Ahead of Print.

Myocardial Infarction

Myocardial Infarction Cardiac Arrest Hospital Outcomes

Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

JANUARY 21, 2023

Heart Rhythm 2010 Hudzik B, Gasior M. The final letter in the SLOWED mnemonic is " D " for "Dead" ( resulting from VT/VF or asystolic cardiac arrest ). Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G. J wave syndromes. J-waves in hypothermia. CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al.

STEMI

STEMI Bradycardia Arrhythmia Cardiac Arrest

Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

Comorbidities prior to out-of-hospital cardiac arrest and diagnoses at discharge among survivors

Which Matters More for Out‐of‐Hospital Cardiac Arrest Survival: Witnessed Arrest or Bystander Cardiopulmonary Resuscitation?

Webinars

Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Cardiac arrest, LBBB with STEMI on the ECG, but no Acute Coronary Syndrome!

Impact of Updating the Cardiopulmonary Resuscitation Guidelines on Out?of?Hospital Shockable Cardiac Arrest: A Population?Based Cohort Study in Japan

ECG Blog #388 — Why Does Lead V1 Look Funny?

Main operating room deliveries for patients with high-risk cardiovascular disease

Abstract 022: Acute Kidney Injury in Subarachnoid Hemorrhage: Exploring its Clinical Significance and Prognostic Implications

ECG Blog #373 — 86yo and this Rhythm.

Can a Medical Record Predict Cardiac Arrest Risk?

Incidence and Long?Term Outcomes of Acute Myocardial Infarction Among Survivors of Out?of?Hospital Cardiac Arrest

Unconscious + STEMI criteria: activate the cath lab?

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