Abstract
Background: Sudden cardiac arrest is the third leading cause of death in Europe. A significant number of out-of-hospital sudden cardiac arrests are associated with acute myocardial infarction. Cardiac arrest is a complication of an acute myocardial infarction caused by malignant rhythm disorder, in most cases ventricular tachycardia or ventricular fibrillation. They result in sudden death in 25%-50% of patients with prior acute myocardial infarction. Sudden cardiac arrest in these patients occurs during the first hours after the onset of symptoms.
Aim: show from the total number of out-of-hospital reanimations in the given period in canton Sarajevo the number of successful reanimations (return of spontaneous circulation – ROSC) and the number of successful reanimations in patients that went in to sudden cardiac arrest with prior acute myocardial infarction. Show the out-of-hospital management of these patients.
Material and Methods: retrospective descriptive study that includes all out-of-hospital sudden cardiac arrest in the period from 1 January 2019 to the 31 December 2021 in canton Sarajevo that are associated with acute myocardial infarction in which there was the return of spontaneous circulation (ROSC). All patients from above-mentioned period were included in the study, without exclusion criteria related to their age, gender. Data was extracted from data registry of the Centre for education of the Emergency Medical Center of canton Sarajevo.
Conclusion: Acute myocardial infarction still stays associated with a high level of mortality and represents one of the leading public health problems. Despite all advances in the field of diagnostics and treatment of patients with AMI that resulted in significant reduction of mortality in time.
References
2. Sonoda T , Wada H, Ogita m , Takahashi D, Nishio R , Yasuda K, Takeuchi M , Yatsu S , Shitara J, Tsuboi S , Dohi T , Suwa S , Miyauchi K, MinaminoT. Clinical features and predictors of outcome in patients with acute myocardial infarction complicated by out-of-hospital cardiac arrest. BMC Cardiovascular Disorders (2022) 22:185
3. Goldberg RJ, Gore JM, Alpert JS, Osganian V, de Groot J, Bade J, Chen Z, Frid D, Dalen JE. Cardiogenic shock after acute myocardial infarction. Incidence and mortality from a community-wide perspective, 1975 to 1988. N Engl J Med. 1991;325(16):1117–22
4. Kern KB, Lotun K, Patel N, Mooney MR, Hollenbeck RD, McPherson JA, McMullan PW, Unger B, Hsu CH, Seder DB. Outcomes of comatose cardiac arrest survivors with and without ST-segment elevation myocardial infarction: importance of coronary angiography. JACC Cardiovasc Interv. 2015;8(8):1031–40
5. Karam N, Bataille S, Marijon E, Tafet M, Benamer H, Caussin C, Garot P, Juliard JM, Pires V, Boche T, et al. Incidence, mortality, and outcome-predictors of sudden cardiac arrest complicating myocardial infarction prior to hospital admission. Circ Cardiovasc Interv. 2019;12(1):e007081
6. Takahashi M, Kondo Y, Senoo K, Fujimoto Y, Kobayashi Y. Incidence and prognosis of cardiopulmonary arrest due to acute myocardial infarction in 85 consecutive patients. J Cardiol. 2018;72(4):343–9
7. Benedek T, Gyöngyösi M. Out-of-Hospital Cardiac Arrest in Acute Myocardial Infarction and STEMI Networks. J Crit Care Med (Targu Mures). 2016 Jan; 2(1): 3–5.
8. Spaulding C, Joly ML, Rosenberg A, Monchi M, Weber SN, Dhainaut J, Carli P. Immediate Coronary Angiography in Survivors of Out-of-Hospital Cardiac Arrest. N Engl J Med 1997; 336:1629-1633
DOI: 10.1056/NEJM199706053362302
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