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- W2955188498 abstract "Background: Outcomes after out-of-hospital cardiac arrest (OHCA) remain poor, and percutaneous coronary intervention (PCI) may have prognostic benefit in patients with a culprit coronary lesion. We aimed to describe outcomes among patients undergoing PCI following OHCA and the effect of ST-elevation myocardial infarction on outcome. Methods: Data were prospectively collected on 1,047 consecutive PCI procedures following OHCA at six Victorian public hospitals from 2005 to 2017. Patients were divided into those with STEMI (OHCA-S) and those without (OHCA-NS). Outcomes were compared against patients with STEMI only without OHCA (n = 9,694). Results: OHCA-S patients were younger and the treated lesion was more commonly occluded at time of PCI (63% vs 22%, p < 0.001). GP-IIb/IIIa antagonists, thrombus aspiration and intra-aortic balloon pump insertion were more frequently used for OHCA-S (p < 0.01). Cardiogenic shock (CS) was present in 47% of OHCA-S and 29% of OHCA-NS (p < 0.001). 30-day mortality was 34% for the OHCA-S and 18% for the OHCA-NS group. However, OHCA-S and OHCA-NS had similar long-term outcomes to the STEMI only group if they survived to 30-days. Multivariable predictors for 30-day mortality after PCI for OHCA were diabetes, impaired renal or LV function, and CS.Tabled 1OHCA w STEMIOHCA w/out STEMIn = 840n = 207p-value30-Day Mortality, n (%)282 (33.6)37 (17.9)<0.00112-Month Mortality, n (%)292 (34.8)38 (18.4)<0.001NDI-Linked Mortality, n(%)344 (41.3)53 (25.6)<0.001NDI Follow-up (days), mean ± SD1,082 ± 11981,221 ± 11030.12 Open table in a new tab Conclusions: PCI following OHCA has a high 30-day mortality, with worse outcomes among patients with STEMI. Beyond 30-days, long-term outcomes are similar to uncomplicated STEMI cohorts." @default.
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- W2955188498 date "2019-01-01" @default.
- W2955188498 modified "2023-09-26" @default.
- W2955188498 title "Percutaneous Coronary Intervention Outcomes Following Out-of-Hospital Cardiac Arrest For Patients With and Without ST-Elevation Myocardial Infarction" @default.
- W2955188498 doi "https://doi.org/10.1016/j.hlc.2019.06.665" @default.
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