000			nab a22 7a 4500
999			_c16538 _d16538
003			PC16538
005			20210730141758.0
008			210712b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9165 _aGarcía Tejada, Julio _eCardiología
100			_9238 _aJurado Román, Alfonso _eCardiología
100			_91053 _aRodríguez García, Jesús A. _eMedicina Intensiva
100			_91241 _aVelázquez Martín, María Teresa _eCardiología
100			_91233 _aHernández Hernández, Felipe _eCardiología
100			_91240 _aAlbarrán González-Trevilla, Agustín _eCardiología
100			_91977 _aMartín Asenjo, Roberto _eCardiología
100			_9237 _aGranda Nistal, Carolina _eCardiología
100			_9566 _aComa Samartín, Raúl _eCardiología
100			_91239 _aTascón Pérez, Juan Carlos _eCardiología
245	0	0	_aPost-resuscitation electrocardiograms, acute coronary findings and in-hospital prognosis of survivors of out-of-hospital cardiac arrest. _h[artículo]
260			_bResuscitation, _c2014
300			_a85(9):1245-50.
500			_aFormato Vancouver: Garcia Tejada J, Jurado Román A, Rodríguez J, Velázquez M, Hernández F, Albarrán A et al. Post-resuscitation electrocardiograms, acute coronary findings and in-hospital prognosis of survivors of out-of-hospital cardiac arrest. Resuscitation. 2014 Sep;85(9):1245-50.
501			_a PMID: 24929199
504			_aContiene 25 referencias
520			_aBackground: Identification of acute coronary lesions amenable to urgent intervention in survivors of out-of-hospital cardiac arrest is crucial. We aimed to compare the clinical and electrocardiographic characteristics to urgent coronary findings, and to analyze in-hospital prognosis of these patients. Methods: From January 2005 to December 2012 we retrospectively identified consecutive patients resuscitated from out-of-hospital cardiac arrest, and analyzed the clinical characteristics, post-resuscitation electrocardiogram and coronary angiogram of those who underwent emergent angiography. Mortality and neurologic status at discharge were also assessed. Results: Patients with ST-elevation more frequently had obstructive coronary artery disease (89% vs. 51%, p<0.001) or acute coronary occlusions (83% vs. 8%, p<0.001) than patients without ST-elevation. Independent predictors of an acute coronary occlusion were chest pain before arrest (OR 0.16, 95% CI 0.04-0.7, p=0.01), a shockable initial rhythm (OR 0.16, 95% CI 0.03-0.9, p=0.03), and ST-elevation on the post-resuscitation electrocardiogram (OR 0.02, 95% CI 0.004-0.13, p<0.001). Survival with favorable neurologic recovery at discharge was 59%. Independent predictors of mortality or unfavorable neurological outcome at discharge were absence of basic life support (OR 0.2, 95% CI 0.06-0.9, p=0.04), prolonged resuscitation time (OR 0.9, 95% CI 0.8-0.9, p=0.01), and necessity of vasopressors (OR 14.8, 95% CI 3.3-65.4, p=0.001). Conclusions: Most patients with ST-elevation on the post-resuscitation electrocardiogram had an acute coronary occlusion, as opposed to patients without ST-elevation. Absence of basic life support, prolonged resuscitation time and use of vasopressors were independent predictors of worse in-hospital outcome.
710			_9119 _aServicio de Cardiología
710			_967 _aServicio de Medicina Intensiva
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16538.pdf _ySolicitar documento
942			_2ddc _cART _n0