Survival of resuscitated cardiac arrest patients with ST-elevation myocardial infarction (STEMI) conveyed directly to a Heart Attack Centre by ambulance clinicians

被引:34
作者
Fothergill, Rachael T. [1 ]
Watson, Lynne R. [1 ]
Virdi, Gurkamal K. [1 ]
Moore, Fionna P. [2 ]
Whitbread, Mark [2 ]
机构
[1] London Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
[2] London Ambulance Serv NHS Trust, Med Directorate, London SE1 8SD, England
关键词
Out-of-hospital cardiac arrest; ST-elevation myocardial infarction; STEMI; Ambulance; Heart Attack Centre; PCI;
D O I
10.1016/j.resuscitation.2013.09.010
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: This study reports survival outcomes for patients resuscitated from out-of-hospital cardiac arrest (OHCA) subsequent to ST-elevation myocardial infarction ( STEMI), and who were conveyed directly by ambulance clinicians to a specialist Heart Attack Centre for expert cardiology assessment, angiography and possible percutaneous coronary intervention (PCI). Methods: This is a retrospective descriptive review of data sourced from the London Ambulance Service's OHCA registry over a one-year period. Results: We observed excellent survival rates for our cohort of patients with 66% of patients surviving to be discharged from hospital, the majority of whom were still alive after one year. Those who survived tended to be younger, to have had a witnessed arrest in a public place with an initial cardiac rhythm of VF/VT, and to have been transported to the specialist centre more quickly than those who did not. Conclusion: A system allowing ambulance clinicians to autonomously convey OHCA STEMI patients who achieve a return of spontaneous circulation directly to a Heart Attack Centre is highly effective and yields excellent survival outcomes. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:96 / 98
页数:3
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