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

Journal of the American Heart Association

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 outcome measure was prehospital return of spontaneous circulation (ROSC).

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

Dr. Smith's ECG Blog

A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. A reliable study would keep track of all patients with shockable arrest and analyze the ones who were not enrolled to see their outcomes. This study failed to do so. This is FAR LESS than all other studies of shockable arrest. 5% vs. 58%!!

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Evaluation of patients with implantable cardioverter?defibrillator in a Latin American tertiary center

Journal of Cardiovascular Electrophysiology

Progressive decline across periods in mortality rates among patients with implantable cardioverter-defibrillator (ICD). Abstract Introduction Despite advancements in implantable cardioverter-defibrillator (ICD) technology, sudden cardiac death (SCD) remains a persistent public health concern. 001) and the combined outcome ( p  = .009).

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Abstract 4142952: Feature Tracking Global Longitudinal Strain in Long-term Risk Stratification of Hypertrophic Cardiomyopathy without Septal Reduction Therapy

Circulation

According to time-dependent analysis, 9% is an optimal cut-off value for absolute LV-GLS in predicting the primary outcome after a 10-year follow-up. All study participants never received alcohol septal ablation or surgical myectomy during follow-up. LV-GLS were derived from cine cardiac MRI by using feature tracking method. vs. 2.6 ± 0.6,

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Cardiac resynchronization therapy (CRT) – why is it so important?

Cardiomatics

Both the Comparison of Medical Therapy, Pacing and Defibrillation in Heart Failure (COMPANION) and the Cardiac Resynchronisation—Heart Failure (CARE-HF) trials [3,4], which were the cornerstone of electrotherapy in HF patients, showed up to a 36% reduction in mortality, an effect size rarely seen in trials today [5]. Heart Fail.

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

Dr. Smith's ECG Blog

She was never seen to be in ventricular fibrillation and was never defibrillated. We studied this and published the abstract below in 2010. Chicago November 2010. Data collected included demographics, initial rhythm, EKG, emergency department (ED) CT and outcomes. With ventilations and epinephrine, she regained a pulse.