Cardiology Update

MAY 7, 2024

The impact of chest compression (CC) pause duration on survival outcomes in pediatric in-hospital cardiac arrests remains unclear, despite the American Heart Association’s recommendation to limit pauses to less than 10 seconds for children without solid evidence. Circulation 2024; 149: 1493-1500.

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Cardiac Arrest Pediatrics Hospital Circulation 52

Circulation

JANUARY 22, 2024

Circulation, Ahead of Print. Every 10 years, the American Heart Association (AHA) Emergency Cardiovascular Care Committee establishes goals to improve survival from cardiac arrest.

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Cardiac Arrest COVID-19 Defibrillator Outcomes 69

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 26, 2023

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Prompt initiation of bystander cardiopulmonary resuscitation (CPR) is critical to survival for out-of-hospital cardiac arrest (OHCA). Results:Of 78 048 patients with a witnessed OHCA treated with bystander CPR, the mean age was 63.5±15.7

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Cardiac Arrest Hospital Circulation Outcomes 76

Frontiers in Cardiovascular Medicine

JANUARY 10, 2024

Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (ECPR) in selected patients after out-of-hospital cardiac arrest (OHCA) is an established method if return of spontaneous circulation cannot be achieved.

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Cardiac Arrest Cardiogenic Shock Hospital Arrhythmia 59

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu505-ASu505, November 12, 2024. The targeted Automated External Defibrillator (AED) program in the Sao Paulo Metro has yielded promising results in improving survival rates for individuals experiencing out-of-hospital cardiac arrest (OHCA) due to ventricular arrhythmias.

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Cardiac Arrest Defibrillator Public Health Arrhythmia 69

Circulation

OCTOBER 27, 2024

Circulation, Ahead of Print. BACKGROUND:In patients with out-of-hospital cardiac arrest who present with an initial shockable rhythm, a longer delay to the first shock decreases the probability of survival, often attributed to cerebral damage. The mechanisms of this decreased survival have not yet been elucidated.

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Cardiac Arrest Hospital Defibrillator Circulation 53

American College of Cardiology

AUGUST 7, 2024

Does hospital median cardiopulmonary resuscitation (CPR) duration in patients without return of circulation (ROC) predict survival among hospitalized children?

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Cardiac Arrest Hospital Pediatrics Outcomes 46

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4141869-A4141869, November 12, 2024. Introduction:Over 290,000 in-hospital cardiac arrests occur annually in the United States. Survival is about 25% with significant variation across the country.

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Cardiac Arrest Circulation Hospital Education 40

Circulation

FEBRUARY 9, 2025

Circulation, Volume 151, Issue 6 , Page 421-423, February 11, 2025.

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Cardiac Arrest Hospital Circulation 63

Journal of the American Heart Association

DECEMBER 18, 2024

BackgroundAlthough they are fastgrowing populations in the United States, little is known about survival outcomes of Hispanic and Asian patients after inhospital cardiac arrest.Methods and ResultsIn Get With The GuidelinesResuscitation, we identified Asian, Hispanic, and White adults with inhospital cardiac arrest during 2005 to 2023.

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Cardiac Arrest Hospital Circulation Outcomes 40

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

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Cardiac Arrest Hospital Defibrillator Outcomes 45

Journal of the American Heart Association

JANUARY 19, 2024

Although PAD can substantially increase the survival of cardiac arrest, PAD use remains low. The primary outcomes were the rate of bystander PAD use, sustained return of spontaneous circulation, survival to discharge, and favorable neurological outcomes. Journal of the American Heart Association, Ahead of Print.

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Cardiac Arrest Defibrillator Hospital Outcomes 45

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu507-ASu507, November 12, 2024. Background:Most out-of-hospital cardiac arrest (OHCA) patients who are initially treated with an automated external defibrillator (AED) and present in a non-shockable rhythm never receive a shock.

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Cardiac Arrest Defibrillator Hospital Heart Rhythm 45

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4142421-A4142421, November 12, 2024. Background:Out-of-hospital cardiac arrest (OHCA) is associated with unfavourable survival rates and neurological outcomes.

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Blood Pressure Cardiac Arrest Hospital Outcomes 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa505-ASa505, November 12, 2024. Moreover, the relationship between rSO2 and EtCO2 levels and ROSC was determined, as well as the influence of adrenaline and NaHCO3 supply on rSO2 values.Methods:A prospective observational study was performed at the University Hospital in Krakow (Poland).

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Cardiac Arrest Hospital Outcomes Circulation 40

Circulation

MAY 19, 2024

Circulation, Volume 149, Issue 21 , Page e1217-e1217, May 21, 2024.

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Cardiac Arrest Hospital Circulation 49

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu1202-ASu1202, November 12, 2024. C and hypothermia at 33°C had similar outcomes in out-of-hospital post cardiac arrest patients. Primary outcome was favorable neurological outcomes (cerebral performance categories of 1 or 2) at hospital discharge. 2018;22:226).

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Cardiac Arrest Hospital Outcomes Circulation 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4142374-A4142374, November 12, 2024. Background:Out-of-hospital cardiac arrest (OHCA) typically results in low survival rates and undesirable neurological outcome.

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Blood Pressure Cardiac Arrest Outcomes Hospital 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4137905-A4137905, November 12, 2024. Background:In out-of-hospital cardiac arrest (OHCA) patients with an initial shockable rhythm, epinephrine increases the likelihood of return of spontaneous circulation (ROSC), but its effect on neurological outcome remains uncertain.

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Cardiac Arrest Hospital Outcomes Pharmacology 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4137065-A4137065, November 12, 2024. Introduction:Out-of-hospital cardiac arrest (OHCA) remains a significant public health challenge, with conventional cardiopulmonary resuscitation (CPR) often yielding limited success. to 7.30, I2: 47%) compared to conventional CPR.

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Cardiac Arrest Hospital Public Health Outcomes 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa907-ASa907, November 12, 2024.

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COVID-19 Cardiac Arrest Outcomes Hospital 40

Circulation: Cardiovascular Quality & Outcomes

NOVEMBER 10, 2023

Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e010491, November 1, 2023.

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Cardiac Arrest Outcomes Hospital Circulation 40

Ken Grauer, MD

FEBRUARY 3, 2024

Shortly after arrival in the ED ( E mergency D epartment ) — she suffered a cardiac arrest. BUT — Cardiac catheterization done a little later did not reveal any significant stenosis. Figure-1: The initial ECG in today's case — obtained after successful resuscitation from cardiac arrest. ( No CP ( C hest P ain ).

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Circulation: Arrhythmia and Electrophysiology

JANUARY 29, 2024

Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:There is no specific treatment for sudden cardiac arrest (SCA) manifesting as pulseless electric activity (PEA) and survival rates are low; unlike ventricular fibrillation (VF), which is treatable by defibrillation.

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Cardiac Arrest Chest Pain Coronary Artery Disease Defibrillator 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4147424-A4147424, November 12, 2024. Table 1)Conclusions:The RA-AMC cohort are about 4 times more likely to require mechanical circulatory support during hospitalization for acute myocarditis, while IBD-AMC are less likely to have AHF.

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Hospital Outcomes Cardiac Arrest Heart Failure 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4118341-A4118341, November 12, 2024. Background:Opioid use has increased significantly in the past few decades, impacting cardiac and non-cardiac patients. Multivariate logistic and linear regression analyses were performed, adjusting for multiple patient and hospital confounders.

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Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu404-ASu404, November 12, 2024. Background:Out-of-hospital cardiac arrest (OHCA) cause significant patient morbidity and mortality.

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Defibrillator BMI Cardiac Arrest Circulation 40

Circulation: Cardiovascular Interventions

JANUARY 20, 2025

Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014499, January 1, 2025. The primary outcome was a composite of 30-day mortality, resuscitated cardiac arrest, hemodynamic instability, and 90-day readmission. days;P=0.01) and hospital length of stay (5.0 days;P=0.046).

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Embolism Pulmonary Outcomes Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4113864-A4113864, November 12, 2024. Background:Heart failure (HF) is one of the leading causes of hospitalizations in the States. Results:We included 4,454,273 weighted hospitalizations due to HF for which 380,446 patients (8.5%) had a concurrent diagnosis of hyperkalemia.

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Inpatient Heart Failure Outcomes Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4146863-A4146863, November 12, 2024. Data was obtained from the Hospital Corporation of America (HCA) enterprise-wide database from January 2020 to September 2023 using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).

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Heart Failure Cardiac Arrest Kidney Disease Atrial Fibrillation 40

Circulation: Heart Failure

MARCH 8, 2024

Circulation: Heart Failure, Ahead of Print. A secondary analysis evaluated outcomes for severe HF hospitalizations (cardiogenic shock, cardiac arrest, and mechanical ventilation). of centers), 525 037 (18.3%) were admissions to ATCs (5.5% of centers), and 15 541 (0.5%) were transferred to ATCs.

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Heart Failure Cardiogenic Shock Outcomes Cardiac Arrest 40

Circulation: Cardiovascular Quality & Outcomes

JANUARY 5, 2024

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Admissions to CICUs with the highest tertile of CCRx utilization had a greater burden of comorbidities, had more diagnoses of ST–elevation myocardial infarction, cardiac arrest, or cardiogenic shock, and had higher Sequential Organ Failure Assessment scores.

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Critical Care Cardiogenic Shock Academic Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa404-ASa404, November 12, 2024. The four main metrics include time to shock (TTS), time to epinephrine administration, confirmation of airway (COA), and arrest monitored/witnessed. Goals:The NPD department reviewed GWTG-R data and survival to discharge at two hospitals.

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Nursing COVID-19 Education Document 40

Dr. Smith's ECG Blog

JUNE 11, 2021

But the lack of traditional Sgarbossa criteria is not reassuring enough for such high pretest probability (elderly patient with chest pain, out of hospital cardiac arrest and LBBB), and the Modified Sgarbossa Criteria confirms Occlusion MI in this case. The patient still had chest pain and a third ECG was performed.

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Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Hospital admission had been recommended, but she left that ED against medical advice. If cardiac arrest from hypokalemia is imminent (i.e., mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 There is some ST depression and peaked T-waves. mEq/L and a creatinine 1.5 mEq/L, from 1.9

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Cardiac Arrest Tachycardia Nursing Ultrasound 40

Dr. Smith's ECG Blog

AUGUST 19, 2023

They had had twice the rate of cardiac arrest and twice the in-hospital mortality[1] In another study of patients diagnosed with STEMI, those on dialysis experienced delayed reperfusion and double the mortality.[2] Circulation 2007 2. Khan et al.

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Chest Pain STEMI Myocardial Infarction Blog 98

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. The findings appear in the journal Circulation. Upward of 400,000 people suffer a cardiac arrest every year in the U.S.,”

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