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. Original article: Lauridsen KG et al.

Cardiac Arrest 52

Cardiac Arrest Pediatrics Hospital Circulation 52

Journal of the American Heart Association

FEBRUARY 26, 2025

BackgroundOutofhospital cardiac arrest (OHCA) with initial shockable rhythm generally has a favorable prognosis. The primary outcome was rhythm conversion to nonshockable on hospital arrival. patients achieved return of spontaneous circulation, 32.8% Journal of the American Heart Association, Ahead of Print.

Cardiac Arrest 75

Cardiac Arrest Hospital Circulation Outcomes 75

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.

Cardiac Arrest 69

Cardiac Arrest Defibrillator Public Health Arrhythmia 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).

Cardiac Arrest 76

Cardiac Arrest Hospital Circulation Outcomes 76

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. Other performance-based quality metrics to improve clinical outcomes should be included in future research with consideration of co-morbidities.

Cardiac Arrest 40

Cardiac Arrest Circulation Hospital Education 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).

Cardiac Arrest 45

Cardiac Arrest Hospital Defibrillator Outcomes 45

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.

Cardiac Arrest 59

Cardiac Arrest Cardiogenic Shock Hospital Arrhythmia 59

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. This may explain the worse outcomes in patients with a long delay to defibrillation.

Cardiac Arrest 53

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?

Cardiac Arrest 46

Cardiac Arrest Hospital Pediatrics Outcomes 46

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.

Cardiac Arrest 45

Cardiac Arrest Defibrillator Hospital Outcomes 45

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.

Cardiac Arrest 40

Cardiac Arrest Hospital Circulation Outcomes 40

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. Survivors (n = 98) exhibited significant differences in BPV measures compared to non-survivors (n = 86).

Blood Pressure 40

Blood Pressure Cardiac Arrest Hospital Outcomes 40

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.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Circulation 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa1108-ASa1108, November 12, 2024. Background:Patients with diabetes have lower survival and worse neurological outcome after cardiopulmonary resuscitation (CPR) compared with non-diabetes. Previous studies have mentioned the aberrant autophagy in diabetic mice.

Cardiac Arrest 45

Cardiac Arrest Diabetes Diet Risk Factors 45

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. MAP levels were measured within the first 12 hours.

Blood Pressure 40

Blood Pressure Cardiac Arrest Outcomes Hospital 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa505-ASa505, November 12, 2024. Once ROSC was obtained rSO2 and EtCO2 monitoring were continued for 24 hours or until cardiac arrest resumed. Introduction:The effectiveness of cardiopulmonary resuscitation is dependent on maintaining optimal cerebral perfusion.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Circulation 40

Circulation: Cardiovascular Quality & Outcomes

NOVEMBER 10, 2023

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

Cardiac Arrest 40

Cardiac Arrest Outcomes Hospital Circulation 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.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Pharmacology 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa907-ASa907, November 12, 2024. However, no large-scale studies have examined the impact of COVID-19 pandemic after EMS-witnessed OHCA, focusing on favorable neurological outcomes.Research Questions:Does COVID-19 pandemic affect favorable neurological outcomes after EMS-witnessed OHCA?Aims:To

COVID-19 40

COVID-19 Cardiac Arrest Outcomes Hospital 40

Circulation

NOVEMBER 28, 2023

Circulation, Ahead of Print. The critical care management of patients after cardiac arrest is burdened by a lack of high-quality clinical studies and the resultant lack of high-certainty evidence. Critical care management is crucial in patients after cardiac arrest and affects outcome.

Critical Care Management 40

Critical Care Management Critical Care Cardiac Arrest Nursing 40

Circulation: Cardiovascular Quality & Outcomes

JUNE 17, 2024

Circulation: Cardiovascular Quality and Outcomes, Volume 17, Issue 6 , Page e011076, June 1, 2024.

Cardiac Arrest 40

Cardiac Arrest Circulation Outcomes 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. and Revman 5.4.Results:Four to 23.28, I2: 63%).

Cardiac Arrest 40

Cardiac Arrest Hospital Public Health Outcomes 40

Circulation: Cardiovascular Interventions

JANUARY 20, 2025

Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014499, January 1, 2025. BACKGROUND:The aim of this study was to examine the impact of early versus delayed catheter-based therapies (CBTs) on clinical outcomes in patients with acute intermediate-risk pulmonary embolism (PE).METHODS:This days;P=0.046).

Embolism 40

Embolism Pulmonary Outcomes Cardiac Arrest 40

Circulation

JANUARY 24, 2024

Circulation, Ahead of Print.

Heart Disease 81

Heart Disease Peripheral Arterial Disease Stroke Strokes 81

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. p=0.35) and cardiac arrest (aOR 1.05, 95% CI 0.8 - 1.36, p=0.74) in patients on chronic opioids.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4113864-A4113864, November 12, 2024. They had more inpatient complications including ventricular fibrillation and cardiac arrest (p <0.001) with longer mean lengths of stay (7 days vs. 5 days, p <0.001) and 30-day readmissions (28% vs. 22%, p<0.001).

Inpatient 40

Inpatient Heart Failure Outcomes Cardiac Arrest 40

Frontiers in Cardiovascular Medicine

DECEMBER 20, 2023

Massive pulmonary embolism (MPE) carries significant 30-day mortality and is characterized by acute right ventricular failure, hypotension, and hypoxia, leading to cardiovascular collapse and cardiac arrest. Veno-venous ECMO can support oxygenation but is not designed to help circulation.

Embolism 56

Embolism Pulmonary Cardiac Arrest Hemorrhage 56

Circulation: Heart Failure

MARCH 8, 2024

Circulation: Heart Failure, Ahead of Print. Patient characteristics, outcomes, and procedural volume were compared among 3 cohorts: admissions to non-ATCs, admissions to ATCs, and transfers to ATCs. A secondary analysis evaluated outcomes for severe HF hospitalizations (cardiogenic shock, cardiac arrest, and mechanical ventilation).

Heart Failure 40

Heart Failure Cardiogenic Shock Outcomes Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4147424-A4147424, November 12, 2024. Prospective studies would be required to further examine the cardiovascular outcome in this cohort. Prospective studies would be required to further examine the cardovascular outcomes in this cohort.

Hospital 40

Hospital Outcomes Cardiac Arrest Heart Failure 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.

Critical Care 40

Critical Care Cardiogenic Shock Academic Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu104-ASu104, November 12, 2024. Background:The incidence of cardiac arrest (CA) increases with age, leading to poorer neurological outcomes after the return of spontaneous circulation (ROSC) in the elderly.

Ischemia 40

Ischemia Cardiac Arrest Circulation Outcomes 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4134590-A4134590, November 12, 2024. Background:Despite the role of cardiac catheterization for hemodynamic assessment and endomyocardial biopsy (EMB) in children with cardiomyopathy, data on procedure-related major adverse events (MAE) in this population is lacking. were females.

Cardiomyopathy 40

Cardiomyopathy Pediatrics Heart Transplant Heart Failure 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.

Chest Pain 98

Chest Pain STEMI Myocardial Infarction Blog 98

DAIC

JULY 29, 2024

Image courtesy of Takenobu Shimada, Osaka Metropolitan University (CC BY 4.0, [link] mtaschetta-millane Mon, 07/29/2024 - 09:09 July 29, 2024 — When it comes to treating cardiac arrest, acting quickly can mean the difference between life and death. Cardiac arrest can lead to death within minutes. for both groups.

Cardiac Arrest 119

Cardiac Arrest Hospital Heart Rhythm Research 119

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

It is apparently fortunate that she had a cardiac arrest; otherwise, her ECG would have been ignored. Then they did an MRI: Patient underwent cardiac MRI on 10/4 that showed mildly reduced BiV systolic function. Circulation [Internet] 2017;135(16):1481–9. Circulation. She was defibrillated and resuscitated.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Circulation

DECEMBER 19, 2023

Circulation, Ahead of Print. Out-of-hospital cardiac arrest is a leading cause of death, accounting for ≈50% of all cardiovascular deaths. The cardiac catheterization laboratory plays an important role in the coordinated Chain of Survival for patients with out-of-hospital cardiac arrest.

Catheterization Laboratory 79

Catheterization Laboratory Cardiac Arrest Laboratory Hospital 79

Dr. Smith's ECG Blog

JUNE 27, 2024

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 is FAR LESS than all other studies of shockable arrest. 5% vs. 58%!!

Defibrillator 113

Defibrillator Cardiac Arrest STEMI Chest Pain 113