Miniatura

Fitxers

Long-term survival after cardiac arrest in patients undergoing emergent coronary angiography.pdf (1.34 MB)

Tipus de document

Article

Versió

Versió acceptada

Data de publicació

2024-03-06

Llicència de publicació

cc-by-nc-nd (c) Elsevier, 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/217322

Long-term survival after cardiac arrest in patients undergoing emergent coronary angiography

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Recurs relacionat

https://doi.org/10.1016/j.carrev.2023.09.008

Resum

Aim: To determine long-term survival of patients after cardiac arrest undergoing emergent coronary angiography and therapeutic hypothermia. Methods: We analysed data from patients treated within the regional STEMI Network from January 2015 to December 2020. The primary endpoint was all-cause mortality at median follow-up. Secondary endpoints were periprocedural complications (arrhythmias, pulmonary edema, cardiogenic shock, mechanical complication, stent thrombosis, reinfarction, bleeding) and 6-month all-cause death. A landmark analysis was performed, studying two time periods; 0-6 months and beyond 6 months. Results: From a total of 24,125 patients in the regional STEMI network, 494 patients who suffered from cardiac arrest were included and divided into two groups: treated with (n = 119) and without therapeutic hypothermia (n = 375). At median follow-up (16.0 [0.2-33.3] months), there was no difference in the adjusted mortality rate between groups (51.3 % with hypothermia vs 48.0 % without hypothermia; HRadj1.08 95%CI [0.77-1.53]; p = 0.659). There was a higher frequency of bleeding in the hypothermia group (6.7 % vs 1.1 %; ORadj 7.99 95%CI [2.05-31.2]; p = 0.002), without difference for the rest of periprocedural complications. At 6-month follow-up, adjusted all-cause mortality rate was similar between groups (46.2 % with hypothermia vs 44.5 % without hypothermia; HRadj1.02 95%CI [0.71-1.47]; p = 0.900). Also, no differences were observed in the adjusted mortality rate between 6 months and median follow-up (9.4 % with hypothermia vs 6.3 % without hypothermia; HRadj2.02 95%CI [0.69-5.92]; p = 0.200). Conclusions: In a large cohort of patients with cardiac arrest within a regional STEMI network, those treated with therapeutic hypothermia did not improve long-term survival compared to those without hypothermia.

Matèries

Aturada cardíaca, Angiografia, Supervivència

Matèries (anglès)

Cardiac arrest, Angiography, Survival

Citació

Col·leccions

Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

VIDAL CALÉS, Pablo, ORTEGA PAZ, Luis, BRUGALETTA, Salvatore, GARCÍA PENAYO, John, RODES CABAU, Josep, ANGIOLILLO, Dominick j, REGUEIRO CUEVA, Ander, FREIXA ROFASTES, Xavier, ABDUL JAWAD ALTISENT, Omar, CEPAS GUILLEN, Pedro luis, ANDREA RIBA, Rut, DIEGO SOLER, Oriol de, TIZÓN MARCOS, Helena, TOMÁS QUEROL, Carlos, GÓMEZ HOSPITAL, Joan antoni, CARRILLO, Xavier, CÁRDENAS, Merida, ROJAS, Sergio, MUNOZ CAMACHO, Juan francisco, GARCIA PICART, Joan, LIDON, Rosa maria, SABATÉ TENAS, Manuel. Long-term survival after cardiac arrest in patients undergoing emergent coronary angiography. _Cardiovascular Revascularization Medicine_. 2024. Vol. 60, núm. 18-26. [consulta: 25 de febrer de 2026]. ISSN: 1878-0938. [Disponible a: https://hdl.handle.net/2445/217322]

Exportar metadades

JSON - METS

Compartir registre