Journal article
Initial Cardiac Rhythm Correlated to Emergency Department Survival
Clinical Medicine Insights. Cardiology, v 3(3), pp 9-14
01 Jan 2009
PMID: 20508762
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: This study attempted to correlate the initial cardiac rhythm and survival from prehospital cardiac arrest, as a secondary end-point.
Methods: Prospective, randomized, double-blinded clinical intervention trial where bicarbonate was administered to 874 prehospital cardiopulmonary arrest patients in prehospital urban, suburban, and rural emergency medical service environments.
Results: This group's manifested an overall survival rate of 13.9% (110 of 793) of prehospital cardiac arrest patients. The most common presenting arrhythmia was ventricular fibrillation (VF) (45.0%), asystole (ASY) (34.4%), and pulseless electrical activity (PEA) (15.7%). Less commonly found were normal sinus rhythm (NSR) (1.8%), other (1.8%), ventricular tachycardia (VT) (0.6%), and atrioventricular block (AVB) (0.5%) as prearrest rhythms.
The best survival was noted in those with a presenting rhythm of AVB (57.1%), VT (33.3%), VF (15.7%), NSR (14.3%), PEA (11.2%), and ASY (11.1%) (p = 0.02). However, there was no correlation between the final cardiac rhythm and outcome, other than an obvious end-of-life rhythm.
Conclusion: The most common presenting arrhythmia was VF (45%), while survival is greatest in those presenting with AVB (57.1%).
Metrics
Details
- Title
- Initial Cardiac Rhythm Correlated to Emergency Department Survival
- Creators
- Rade B. Vukmir - University of Pittsburgh Medical Center
- Publication Details
- Clinical Medicine Insights. Cardiology, v 3(3), pp 9-14
- Publisher
- Sage
- Number of pages
- 6
- Grant note
- Laerdal Foundation for Acute Medicine and University of Pittsburgh Competitive Medical Research Fund
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Emergency Medicine
- Web of Science ID
- WOS:000217127600002
- Scopus ID
- 2-s2.0-62849128807
- Other Identifier
- 991021903254804721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems