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Cardiothoracic Surgery: Cardiothoracic |

Resuscitated OHCA(ROSC) Patients Underwent Emergency Cardiac Catheterization: Preliminary Result FREE TO VIEW

Tsung-Po Tsai, PhD; Su-Chin Tsao, NP; Ying-Hock Teng, MD; Jung-Ming Yu; An-Hua Sun, MBA; Shih-Chen Tsai, MD; Heng Su, MD
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Chung Shan Medical University Hospital, Taichung, Taiwan


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A62. doi:10.1016/j.chest.2016.02.065
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SESSION TITLE: Cardiothoracic

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: Arrhythmia and sudden cardiac decompensation (AMI or acute heart failure) are the most often causes of out-of-hospital cardiac arrest (OHCA). Emergency cardiac catheterization for resuscitated OHCA patients with one or more cardiac risk factors followed by coronary revascularization (PCI or CABG) or valvular surgery is a life saving procedure. However, the result of these ER resuscitated OHCA patients (pts) underwent cardiac invasive procedure was not well defined.

METHODS: 170 (including 23 traumatic) out of 705 OHCA pts were resuscitated and achieved return of spontaneous circulation (ROSC) at ER of CSMUH from Jan. 1st, 2011 to April 30, 2014. Only 33 (M/F=25/8) out of 147 medically resuscitated OHCA pts with one or more cardiac risk factors were transferred for emergency cardiac catheterization (33/147). Among them, 31 underwent PCI (either POBA or stent deployment) with coronary stenotic lesions of RCA (15), LAD (12), LCX (5), LM (1) and insignificant (2). The rest 2 pts were one with aortic valvular stenosis (AS) underwent aortic valve replacement and one with CADX3 was transferred for CABG surgery, respectively.

RESULTS: All 33 pts survived the procedure and were sent to ICU. 26 pts were survived but in comatose state and 24 eventually deceased because of cardiogenic shock (16), septic shock (5), VT & VF (1), hyperkalemia (1) and MOF (1). Two were transferred to respiratiory care awrd (RCW). 8 pts (24.2%) were survived to hospital discharge and were followed up at OPD periodically (6-43 mos, mean 30.4m). 6 OHCA pts required ECMO support but only one out of six underwent PCI survived.

CONCLUSIONS: The resuscitated OHCA pts (ROSC) with any cardiac disease in the past, should undergo emergency cardiac catheterization and possible intervention procedure with acceptable result. (survival to hospital discharge rate of 24.2%).

CLINICAL IMPLICATIONS: The resuscitated OHCA pts (ROSC) with any cardiac disease in the past, should undergo emergency cardiac catheterization and possible intervention procedure with acceptable result.

DISCLOSURE: The following authors have nothing to disclose: Tsung-Po Tsai, Su-Chin Tsao, Ying-Hock Teng, Jung-Ming Yu, An-Hua Sun, Shih-Chen Tsai, Heng Su

No Product/Research Disclosure Information


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