Journal
RESUSCITATION
Volume 63, Issue 1, Pages 49-53Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.resuscitation.2004.04.006
Keywords
acute myocardial infarction (AMI); cardiac arrest; cardiopulmonary resuscitation (CPR); long-term prognosis; percutaneous coronary intervention (PCI); ST-segment elevation myocardial infarction (STEMI)
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Aims: To study the long-term survival after out-of-hospital cardiac arrest and successful cardiopulmonary resuscitation (CPR) in patients with acute ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI). Material and methods: In-hospital and 2-year survival of 40 patients treated with primary PCI after out-of-hospital cardiac arrest and STEMI was compared with that of a reference group of 325 STEMI patients, without cardiac arrest, also treated with primary PCI in the same period. Results: In the group with out-of-hospital cardiac arrest, both in-hospital and 2-year mortality was 27.5%. In the reference group, in-hospital and 2-year mortality was 4.9 and 7.1%, respectively. After discharge from hospital there was no significant difference in mortality between the groups. Conclusion: Long-term prognosis is good in selected patients after successful out-of-hospital CPR and STEMI treated with primary PCI. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
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