Key result
ECPR for refractory shockable OHCA is associated with organized rhythm before PCI regardless of CAD.
Why the study?
Does reperfusion with ECMO and PCI improve achieving an organized rhythm in patients with refractory shockable out-of-hospital cardiac arrest?
Observational
Does reperfusion with ECMO and PCI improve achieving an organized rhythm in patients with refractory shockable out-of-hospital cardiac arrest?
p-value: p==0.024
In patients with refractory shockable OHCA undergoing ECPR, achieving an organized rhythm before PCI is common and is associated with a higher prevalence of neurologically favorable survival.
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.
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Crespo‐Diaz et al. (2024) conducted an observational in Refractory shockable out-of-hospital cardiac arrest (OHCA). Reperfusion with extracorporeal membrane oxygenation (ECMO) and percutaneous coronary interventions (PCI) was evaluated on Achieving an organized rhythm (p==0.024). Most patients undergoing extracorporeal cardiopulmonary resuscitation for refractory shockable OHCA achieved an organized rhythm before PCI independent of coronary artery disease burden (P=0.024).
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