Key result
OHCA requiring intensive care in STEMI patients is linked to ~52% in-hospital mortality.
Why the study?
Global ACS registries often omit patients with OHCA admitted to intensive care units, which may underestimate mortality rates following acute MI worldwide.
Does out-of-hospital cardiac arrest affect mortality in patients with acute myocardial infarction compared to those admitted directly to a cardiac center?
Population
Patients with AMI admitted in 2014 at a single center
Comparison
Initial admission to Department of Anesthesiology and Intensive Care vs Cardiac Centre
Design
Single-center retrospective analysis
Follow-up
Five-year period
Authors
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OHCA in STEMI signals high in-hospital mortality risk requiring vigilance; leaves open optimal early interventions in observational cohorts.
Cohort
No
Does out-of-hospital cardiac arrest affect mortality in patients with acute myocardial infarction compared to those admitted directly to a cardiac center?
Absolute Event Rate: 52% vs 3%
While AMI patients with OHCA face high short-term mortality, those surviving beyond 30 days have a long-term prognosis comparable to AMI patients without OHCA.
Alusik et al. (2024) conducted a cohort in Acute myocardial infarction (AMI) with out-of-hospital cardiac arrest (OHCA). Out-of-hospital cardiac arrest (OHCA) with admission to Anesthesiology and Intensive Care vs. Admission to Cardiac Centre (CC) was evaluated on In-hospital mortality (STEMI patients). Out-of-hospital cardiac arrest requiring intensive care admission in patients with STEMI was associated with 52% in-hospital mortality, compared to 3% for those admitted to the cardiac center.
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