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Retrospective Analysis of Patients With Cardiac Arrest Who Underwent Coronary Angiography
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Original Research
VOLUME: 1 ISSUE: 3
P: 68-74
December 2023

Retrospective Analysis of Patients With Cardiac Arrest Who Underwent Coronary Angiography

Bull Crdiov Acad 2023;1(3):68-74
DOI: 10.4274/kvbulten.galenos.2023.47955
Esra Polat
1. Dr. Ersin Arslan Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, Gaziantep, Türkiye
No information available.
No information available
Received Date: 10.10.2023
Accepted Date: 18.10.2023
Publish Date: 16.01.2024
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ABSTRACT

Objective:

Ischemic heart disease is the most common cause of sudden cardiac arrest (CA), which remains a serious public health problem worldwide. Guidelines include recommendations for the timing of coronary angiography (CAG) in successfully resuscitated CA patients based on electrocardiogram (ECG), pre-arrest complaint and clinical risk for ischemia. The aim of this study was to retrospectively analyze CA patients who were successfully resuscitated and underwent CAG.

Material and Methods:

The study included patients who were successfully resuscitated and underwent CAG between 01.01.2019-01.01.2022. In-hospital (IHCA) and out-of-hospital CA (OHCA) status, cardiopulmonary resuscitation (CPR) duration, ECGs after CPR, diagnoses, angiographic findings, infarct-related artery in case of occlusion, and mortality rates were evaluated.

Results:

The study included 130 patients. The mortality rate was 66.2%. There was no significant difference in mortality between IHCA and OHCA (p=0.327). Mortality was higher in non-ST-elevation myocardial infarction patients (p=0.020). It was found that CPR duration of ≥12.5 minutes could be used to predict mortality.

Conclusions:

In ST-segment elevation myocardial infarction patients presenting with CA, early and successful intervention had favorable effects on mortality. Patients with a CPR duration of less than 12.5 minutes had a higher chance of survival.

Keywords:
Cardiac arrest, out-of-hospital cardiac arrest, coronary angiography, STEMI, NSTEMI

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