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Early direct coronary angioplasty in survivors of out-of-hospital cardiac arrest

      Out-of-hospital cardiac arrest (OHCA) is a major cause of death in the United States.
      • Myerburg R.
      • Castellanos A.
      Cardiac arrest and suden cardiac death.
      Ventricular fibrillation is the most commonly observed rhythm disturbance in the early stages of cardiac arrest
      • Becker L.
      The epidemiology of sudden death.
      and is often provoked by acute myocardial ischemia.
      • Myerburg R.J.
      • Kessler K.M.
      • Castellanos A.
      Sudden cardiac death epidemiology, transient risk, and intervention assessment.
      ,
      • Lawrie D.M.
      • Higgins M.R.
      • Godman M.J.
      • Oliver M.F.
      • Julian D.G.
      • Donald K.W.
      Ventricular fibrillation complicating acute myocardial infarction.
      To address the issue of mechanical reperfusion therapy in the setting of OHCA, we undertook a retrospective study at our center of all patients successfully resuscitated from ventricular fibrillation OHCA in whom urgent coronary angioplasty was performed to treat acute myocardial ischemia.
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      References

        • Myerburg R.
        • Castellanos A.
        Cardiac arrest and suden cardiac death.
        in: Braunwald E. Heart Disease A Textbook of Cardiovascular Medicine. WB Saunders, Philadelphia, PA1997: 742-779
        • Becker L.
        The epidemiology of sudden death.
        in: Paradis N.A. Nowak R.M. Cardiac Arrest The Science and Practice of Resuscitation Medicine. Williams and Wilkins, Baltimore, MD1996: 28-47
        • Myerburg R.J.
        • Kessler K.M.
        • Castellanos A.
        Sudden cardiac death.
        Ann Intern Med. 1993; 119: 1187-1197
        • Lawrie D.M.
        • Higgins M.R.
        • Godman M.J.
        • Oliver M.F.
        • Julian D.G.
        • Donald K.W.
        Ventricular fibrillation complicating acute myocardial infarction.
        Lancet. 1968; 2: 523-528
        • Kahn J.K.
        • Glazier S.
        • Swor R.
        • Savas V.
        • O’Neill W.W.
        Primary coronary angioplasty for acute myocardial infarction complicated by out-of-hospital cardiac arrest.
        Am J Cardiol. 1995; 75: 1069-1070
        • van Campen L.C.
        • van Leeuwen G.R.
        • Verheugt F.W.
        Safety and efficacy of thrombolysis for acute myocardial infarction in patients with prolonged out-of-hospital cardiopulmonary resuscitation.
        Am J Cardiol. 1994; 73: 953-955
        • Berek K.
        • Schinnerl A.
        • Traweger C.
        • Lechleitner P.
        • Baubin M.
        • Aichner F.
        The prognostic significance of coma-rating, duration of anoxia and cardiopulmonary resuscitation in out-of-hospital cardiac arrest.
        J Neurol. 1997; 244: 556-561
        • Bulut S.
        • Aengevaeren W.R.
        • Luijten H.J.
        • Verheugt F.W.
        Successful out-of-hospital cardiopulmonary resuscitation.
        Resuscitation. 2000; 47: 155-161
      1. Hermens WT, Willems GM, Nijssen KM, Simoons ML. Effect of thrombolytic treatment delay on myocardial infarction size. Lancet 1992;40:1297

        • Lee K.L.
        • Woodlief L.H.
        • Topol E.J.
        • Weaver W.D.
        • Betriu A.
        • Col J.
        • Simoons M.
        • Aylward P.
        • Van de Werf F.
        • Califf R.M.
        Predictors of 30 day mortality in the era of reperfusion for acute myocardial infarction.
        Circulation. 1995; 91: 1659-1668
        • Newby L.K.
        • Rutsch W.R.
        • Califf R.M.
        • Simoons M.L.
        • Aylward P.E.
        • Armstrong P.W.
        • Woodlief L.H.
        • Lee K.L.
        • Topol E.J.
        • Van de Werf F.
        Time from symptom onset to treatment and outcomes after thrombolytic therapy.
        J Am Coll Cardiol. 1996; 27: 1646-1655
        • Hochman J.S.
        • Sleeper L.A.
        • Webb J.G.
        • Sanborn T.A.
        • White H.D.
        • Talley J.D.
        • Buller C.E.
        • Jacobs A.K.
        • Slater J.N.
        • Col J.
        • McKinlay S.M.
        • LeJemtel T.H.
        Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock.
        N Engl J Med. 1999; 341: 625-634
        • Moreno R.
        • Garcia E.
        • Soriano J.
        • Abeytua M.
        • Lopez de Sa E.
        • Acosta J.
        • Peerez de Isla L.
        • Rubio R.
        • Lopez-Sendon J.L.
        Early coronary angioplasty for acute myocardial infarction.
        J Invasive Cardiol. 2001; 13: 202-210
        • Grassman E.D.
        • Johnson S.A.
        • Krone R.J.
        Predictors of success and major complications for primary percutaneous transluminal coronary angioplasty in acute myocardial infarction. An analysis of the 1990 to 1994 Society for Cardiac Angiography and Interventions registries.
        J Am Coll Cardiol. 1997; 30: 201-208
        • Eisenberg M.S.
        • Mengert T.J.
        Cardiac resuscitation.
        N Engl J Med. 2001; 344: 1304-1313