Keywords
cardiopulmonary reanimation
acute myocardial infarction
return of spontaneous circulation
How to Cite
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 a 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 the canton of Sarajevo, the number of successful reanimations (return of spontaneous circulation – ROSC) and the number of successful reanimations in patients who went into sudden cardiac arrest with prior acute myocardial infarction. Show the out-of-hospital management of these patients.
Materials and Methods: retrospective descriptive study that includes all out-of-hospital sudden cardiac arrest in the period from 1 January 2019 to 31 December 2021 in the canton of Sarajevo that are associated with acute myocardial infarction in which there was the return of spontaneous circulation (ROSC). All patients from the period mentioned above were included in the study, without exclusion criteria related to their age or gender. Data was extracted from the data registry of the Centre for Education of the Emergency Medical Center of the Canton of Sarajevo.
Conclusion: Acute myocardial infarction remains 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, which has resulted in a significant reduction in mortality over time.
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