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Effects of Perfusion, Coronary Artery Disease Burden, and Revascularization in Establishing Organized Cardiac Rhythm During Extracorporeal Cardiopulmonary Resuscitation for Shockable Refractory Out‐of‐Hospital Cardiac Arrest

Year: 2024

Type: article

Abstract: The aspects of extracorporeal cardiopulmonary resuscitation critical for reestablishing an organized rhythm and subsequent functional survival are unclear. This study characterizes the impact of reperfusion with extracorporeal membrane oxygenation (ECMO) and percutaneous coronary interventions (PCI) on achieving an organized rhythm in patients with refractory shockable out-of-hospital cardiac arrest (OHCA). METHODS AND RESULTS: =0.024). CONCLUSIONS: Most patients undergoing extracorporeal cardiopulmonary resuscitation for refractory OHCA due to shockable rhythms achieved an organized rhythm before PCI independent of coronary artery disease burden. Also, neurologically favorable survival was more prevalent in those attaining an organized rhythm before PCI.

Source: Journal of the American Heart Association

DOI: 10.1161/jaha.123.033907

Authors: Ruben Crespo‐Diaz, Marinos Kosmopoulos, Ganesh Raveendran, Sergey Gurevich, Demetris Yannopoulos, Jason A. Bartos

Institutions: Mayo Clinic, University of Minnesota

Language: English

Topic: Cardiac Arrest and Resuscitation

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,700