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To compare the clinical profile, management and outcomes of patients with Out of Hospital Cardiac Arrest (OHCA) with and without STEMI.
Retrospective analysis of the 20-year registry data (Jan 1991 to Jun 2010) of cardiac patients hospitalized at Hamad General Hospital and Qatar Heart Hospital, Doha, Qatar.
Of the 987 patients admitted to the cardiology department with out of hospital cardiac arrest (OHCA), 296 patients (30%) had STEMI. Compared to OHCA patients without STEMI, OHCA with STEMI patients were younger (53±13 vs. 58±16 years, P=0.001), more likely to be male (78% vs. 34%, P=0.001) and to be smokers (35% vs. 14%) but less likely to have hypertension (30% vs. 48%, P=0.001), diabetes (32% vs. 47%, P=0.001) and chronic renal failure (3.4% vs.9%, p=0.002). Reperfusion therapy was used in 44% of OHCA with STEMI (38% received thrombolytic therapy and 6% underwent primary PCI). Compared to OHCA without STEMI, OHCA with STEMI patients were more likely to undergo coronary angiogram (22% vs. 6%, P=0.001) and PCI (11% vs. 2%, P=0.001). There was no significant difference in mortality between those with and without STEMI.
Among patients with OHCA in the state of Qatar, STEMI was found in 30% of the cases. It was associated with lower rate of traditional cardiovascular risk factors (except of smoking) but similar mortality rate.
Poster Sessions, Expo North
Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: MI Complications: Shock, Arrest and Cardiac Rupture
Abstract Category: 1. Acute Coronary Syndromes: Clinical
Presentation Number: 1126-174
- 2013 American College of Cardiology Foundation