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Top stories: Cardiac arrest—Patients at risk

HeartRhythm

Curtain etal1 performed an analysis of the VALIANT (Valsartan in Acute Myocardial Infarction) and PARADISE-MI (Prospective ARNi vs ACE Inhibitor Trial to Determine Superiority in Reducing Heart Failure Events After MI) trials to evaluate whether risk of sudden cardiac arrest (SCA) following acute myocardial infarction (MI) has changed over time.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

Cardiac arrest was called and advanced life support was undertaken for this patient. The patient was given chest compressions while waiting for the cardiac arrest team to arrive. NT-pro-BNP peaked at 4831, consistent with heart failure. The morning before the cardiac arrest potassium was 4,3.mmol,

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2025 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Circulation

METHODS:The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing.

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

Open Heart

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. Survival curves were performed among hospitalised patients with acute myocardial infarction (AMI) as well as heart failure.

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PO-06-096 CONTEMPORARY TRENDS IN CARDIAC ARREST AND HEART FAILURE RELATED MORTALITY IN THE UNITED STATES FROM 1999-2020

HeartRhythm

In part due to advances in guideline-directed medical therapy (GDMT) and availability of implantable cardioverter-defibrillators (ICDs), cardiac arrest (CA) rates among patients with heart Failure (HF) decreased in the early 2000s. Relatively little is known about trends in CA associated with HF over the past decade.

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Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

I was there and said, "No, I think this is all due to severe chronic cardiomyopathy and cardiac arrest due to primary ventricular fibrillation, not due to ACS." _ Why did I say that? Here is the troponin profile overnight: This is consistent with cardiac arrest without acute coronary occlusion. The QRS is extremely wide.

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Characteristics of circulatory failure after out-of-hospital cardiac arrest: a prospective cohort study

Open Heart

Background Circulatory failure after out-of-hospital cardiac arrest (OHCA) as part of the postcardiac arrest syndrome (PCAS) is believed to be caused by an initial myocardial depression that later subsides into a superimposed vasodilatation.