Author + information
- Sri Raveen Kandana,b,
- Hazim Rahbia,b,
- Kieron Rooneya,b,
- Matthew Thomasa,b,
- Abdul Mozida,b,
- Stephen Dormana,b,
- Andreas Baumbacha,b,
- Thomas Johnsona,b and
- Julian Strangea,b
Background: Prior studies have identified key predictors of survival from out-of-hospital cardiac arrest (OHCA), but there is a paucity of data on the prevalence and complexity of coronary disease and whether this influences outcomes. Our institution adopts an immediate invasive coronary strategy for all comatose survivors of OHCA in the absence of an obvious non-coronary cause. We analyzed clinical and angiographic findings in order to identify predictors of survival.
Methods: We performed a retrospective review of case notes and angiographic images of ventilated survivors of OHCA undergoing an immediate invasive coronary strategy at our institution between 1 October 2012 and 30 November 2015.
Results: Data was obtained for 217 patients (80% male, mean age 63 years). Table 1 summarizes the predictors of survival. Our overall survival to discharge rate was 57%. The majority of survivors (91%) had good neurological outcome (cerebral performance category 1 or 2). Independent predictors of survival were: age < 60 years, witnessed cardiac arrest, basic life support < 5 minutes, ventricular tachycardia/ventricular fibrillation as initial rhythm, return of spontaneous circulation < 20 minutes, absence of shock and cardiac etiology.
Conclusions: Favorable pre-hospital factors, the absence of shock and cardiac etiology were associated with better survival in this large unselected cohort of comatose survivors of OHCA. The presence and complexity of coronary disease does not appear to influence outcomes.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: PCI for NSTEMI and Complex Patients With Multiple Co-Morbidities
Abstract Category: 19. Interventional Cardiology: Complex Patients/Comorbidities
Presentation Number: 1154-137
- 2017 American College of Cardiology Foundation