Original Articles
23 August 2023
Vol. 17 No. 2 (2023)
https://doi.org/10.4081/itjm.2023.1634

Estimation of short-term and medium-term survival from sudden cardiac death based on the initial rhythm

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Sudden cardiac death, ventricular arrhythmias, survival
908
Views
384
Downloads
25
HTML

Authors

Mercedes Ahmann
https://orcid.org/0000-0001-7688-6598
Doctoral School of Health Sciences, University of Pécs, Hungary.
Péter Kanizsai
https://orcid.org/0000-0001-7896-2857
Emergency Department, Clinical Centre, University of Pécs, Hungary.
Attila Kónyi
Department of Cardiology, Clinical Centre, University of Pécs, Hungary.
Ied Al-Sadoon
https://orcid.org/0000-0003-4602-6663
Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Annamária Pakai
Tímea Csákvári
timea.csakvari@etk.pte.hu
https://orcid.org/0000-0002-3339-4953
Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Zsófia Verzár
https://orcid.org/0000-0001-5323-0748
Faculty of Health Sciences, University of Pécs, Pécs, Hungary.

The aim of our study was to investigate short- and medium-term survival in patients with sudden cardiac death (SCD) after resuscitation. We continued a retrospective study at the University of Pécs from April 2018 to December 2019. 192 patients with SCD were selected. Exclusion criteria were incomplete documentation and unstable rhythm, after which we continued the study with 181 patients. Our data were obtained from documents recorded by the Emergency Department. The study population was divided into two groups, with proven shockable (I) and non-shockable (II) initial rhythm, and their data were compared at hospital discharge, at 1 month, and at 3 months. The main endpoint was the mortality between the two groups. Our results already showed that hospital survival was significantly higher in the shockable rhythm group than in the non-shockable group (62% vs. 38%, P=0.002). We also obtained similar results for 1-month survival (54% vs. 16%, P=0.004). When risk factors were examined, there was a significant difference in the survival of diabetic (P=0.001) and hypertensive patients (P=0.001). Patients with shockable rhythm have significantly better survival rates.

Altmetrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Préda I, Czuriga I, Édes I (eds). Hirtelen szívhalál, Kardiológia Alapok és irányelvek. 1st ed. Medicina, 2010.
Böttiger BW, Bode C, Kern S, et al. Efficacy and safety of thrombolytic therapy after initially unsuccessful cardiopulmonary resuscitation: a prospective clinical trial. Lancet 2001;357:1583-85. DOI: https://doi.org/10.1016/S0140-6736(00)04726-7
Berdowski J, Berg RA, Tijssen JG, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation 2010;81:1479-87. DOI: https://doi.org/10.1016/j.resuscitation.2010.08.006
Jazayeri MA, Emert MP. Sudden Cardiac Death: Who Is at Risk? Med Clin North Am 2019;103:913-30. DOI: https://doi.org/10.1016/j.mcna.2019.04.006
Perkins GD, Lall R, Quinn T, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Lancet 2015;385:947-55. DOI: https://doi.org/10.1016/S0140-6736(14)61886-9
Go AS, Mozaffarian D, Roger VL, et al. Heart disease and stroke statistics-2014 update: a report from the American Heart Association. Circulation 2014;129:e28-e292.
Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation 2016;105:188-95. DOI: https://doi.org/10.1016/j.resuscitation.2016.10.001
Becker LB, Han BH, Meyer PM, et al. Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project. N Engl J Med 1993;329:600-6. DOI: https://doi.org/10.1056/NEJM199308263290902
Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 2018;72:1677-749. DOI: https://doi.org/10.1016/j.jacc.2017.10.053
Szigethi T, Pileczky D, Pap Z, et al. Hosszú távú túlélés és iniciális ritmus közötti összefüggés hirtelen szívhalál esetén Cardiol Hung 2017;47:30-3. DOI: https://doi.org/10.26430/CHUNGARICA.2017.47.1.30
Monsieurs KG, Nolan JP, Bossaert LL, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 2015;95:1-80. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.028
Nolan JP, Soar J, Zideman DA, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive Summary. Resuscitation 2010;81:1219-76. DOI: https://doi.org/10.1016/j.resuscitation.2010.08.021
Rittenberger JC, Callaway CW. Post-cardiac arrest management in adults. http://www.uptodate.com/contents/ post-cardiac-arrest-management-in-adults (Cited 2023 July 24).
Pakai A, Kívés Z. Research for nurses part 2: methods of sampling and data collection in health science research. Nővér 2013;26:20-43.
Koldobskiy D, Groves S, Scharf SM, Cowan MJ. Validation of Factors, Affecting the Outcome of Cardiopulmonary Arrest in a Large, Urban, Academic, Medical Center. J Crit Care Med 2014;168132. DOI: https://doi.org/10.1155/2014/168132
Herlitz J, Engdahl J, Svensson L, et al. Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. Am Heart J 2005;149:61-6. DOI: https://doi.org/10.1016/j.ahj.2004.07.014
Myerburg RJ, Kessler KM, Castellanos A. Sudden cardiac death: epidemiology, transient risk, and intervention assessment. Ann Intern Med 1993;119:1187-97. DOI: https://doi.org/10.7326/0003-4819-119-12-199312150-00006
Bunch TJ, Mahapatra S, Murdock D, et al. Ranolazine reduces ventricular tachycardia burden and ICD shocks in patients with drug-refractory ICD shocks. Pacing Clin Electrophysiol 2011;34:1600-6. DOI: https://doi.org/10.1111/j.1540-8159.2011.03208.x
Bougouin W, Mustafic H, Marijon E, et al. Gender and survival after sudden cardiac arrest: A systematic review and meta-analysis. Resuscitation 2015;94:55-60. DOI: https://doi.org/10.1016/j.resuscitation.2015.06.018
Wang CH, Huang CH, Chang WT, et al. Associations among gender, marital status, and outcomes of adult inhospital cardiac arrest: A retrospective cohort study. Resuscitation 2016;107:1-6. DOI: https://doi.org/10.1016/j.resuscitation.2016.07.005
Topjian AA, Localio AR, Berg RA, et al. Women of childbearing age have better inhospital cardiac arrest survival outcomes than do equal-aged men. Crit Care Med 2010;38:1254-60. DOI: https://doi.org/10.1097/CCM.0b013e3181d8ca43
Nadkarni VM, Larkin GL, Peberdy MA, et al. First Documented Rhythm and Clinical Outcome From In-Hospital Cardiac Arrest Among Children and Adults. JAMA 2006;295:50-7. DOI: https://doi.org/10.1001/jama.295.1.50
Nagy B, Kiss B, Pál-Jakab Á, et al. Hirtelen szívhalál, újraélesztés a European Resuscitation Council 2021-es ajánlása tükrében Cardiol Hung 2022;52:239-45. DOI: https://doi.org/10.26430/CHUNGARICA.2022.52.3.239
Nolan JP. Optimizing outcome after cardiac arrest. Curr Opin Crit Care 2011;17:520-6. DOI: https://doi.org/10.1097/MCC.0b013e328349bc57
Kitamura T, Iwami T, Kawamura T, et al. Japanese Circulation Society Resuscitation Science Study Group. Nationwide improvements in survival from out-of-hospital cardiac arrest in Japan. Circulation 2012;126:2834-43. DOI: https://doi.org/10.1161/CIRCULATIONAHA.112.109496
Goto Y, Maeda T, Nakatsu-Goto Y. Prognostic implications of conversion from nonshockable rhythms in outof- hospital cardiac arrest. Crit Care 2014;18:528. DOI: https://doi.org/10.1186/s13054-014-0528-7
Keczeli V, Al-Sadoon I, Máté O, et al. Prevalence and impact of metabolic syndrome on outcomes of acute coronary syndrome patients in two different countries. Acta Angiol 2022;28:44-51. DOI: https://doi.org/10.5603/AA.2022.0008
Bánfai B, Pandur A, Pék E, et al. Hány éves kortól képesek a gyermekek újraéleszteni? Orv Hetil 2017;158:147-52. DOI: https://doi.org/10.1556/650.2017.30631
Perkins GD, Graesner JT, Semeraro F, et al. European Resuscitation Council Guidelines 2021: Executive summary. Resuscitation 2021;161:1-60. DOI: https://doi.org/10.1016/j.resuscitation.2021.02.007
Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med 2007;33:237-45. DOI: https://doi.org/10.1007/s00134-006-0326-z

How to Cite



Estimation of short-term and medium-term survival from sudden cardiac death based on the initial rhythm. (2023). Italian Journal of Medicine, 17(2). https://doi.org/10.4081/itjm.2023.1634
Copyright (c) 2023 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.


Similar Articles

21-30 of 454

You may also start an advanced similarity search for this article.