Key result
Successful reperfusion during primary PCI is linked to ~65% lower mortality in STEMI with OHCA.
Why the study?
Information about longer-term outcomes after primary PCI in STEMI complicated by out of hospital cardiac arrest, especially in high-risk patients not regaining consciousness promptly, is sparse.
Does primary percutaneous coronary intervention improve survival and neurological outcomes in patients with ST-elevation myocardial infarction complicated by out of hospital cardiac arrest?
Population
132 STEMI patients with OHCA and ROSC out of 1836 admitted for pPCI
Comparison
Not applicable (single cohort study)
Design
Cohort study
Follow-up
1 year
Authors
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Supports primary PCI in STEMI-OHCA; leaves open whether reperfusion improves neurologically intact survival.
Cohort (n=132)
Does primary percutaneous coronary intervention improve survival and neurological outcomes in patients with ST-elevation myocardial infarction complicated by out of hospital cardiac arrest?
Primary PCI in STEMI complicated by OHCA is associated with high survival rates, and even among high-risk unconscious patients, neurologically intact survival can be achieved in about one-third of cases.
Choudry et al. (2014) conducted a cohort in ST-elevation myocardial infarction (STEMI) complicated by out of hospital cardiac arrest (OHCA) (n=132). Primary percutaneous coronary intervention (pPCI) was evaluated on Survival to hospital discharge. Among 132 patients with STEMI complicated by out-of-hospital cardiac arrest, 76.5% survived to hospital discharge following primary PCI, with successful reperfusion reducing the hazard of death by 65%.
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