tailieunhanh - Báo cáo y học: "Impact of routine percutaneous coronary intervention after out-of-hospital cardiac arrest due to ventricular fibrillation"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Impact of routine percutaneous coronary intervention after out-of-hospital cardiac arrest due to ventricular fibrillation. | Cronier et al. Critical Care 2011 15 R122 http content 15 3 R122 KS CRITICAL CARE RESEARCH Open Access Impact of routine percutaneous coronary intervention after out-of-hospital cardiac arrest due to ventricular fibrillation Diorrif lz C mnior1 2nHiIi irin in3 k Cli I Rmi I i orrTir Ho2 4 AQ iQftQf2 5 Tt ril rhiưmn2 4 rieiiick Cioniei rimippe Vignon I oceila Boufeiiaciie rimippe Aegeitei Cyiil Ciiaiion Fiangois Templiei6 Samuel Castio2 4 Rami El Mahmoud1 2 Cécile Loiy3 Nicolas Pichon3 Oliviei Dubouig1 2 and Antoine Vieillaid-Baion2 4 Abstract Introduction Since 2003 we have routinely used percutaneous coionaiy inteivention PCI and mild therapeutic hypotheimia MTH to tieat patients 80 yeais of age aftei out-of-hospital caidiac aiiest OHCA ielated to ventiiculai fibiillation. The aim of oui study was to evaluate the prognostic impact of routine PCI in association with MTH and the potential influence of age. Methods We studied 111 consecutive patients resuscitated successfully following OHCA related to shock-sensitive ihythm. They weie divided into five gioups accoiding to age 45 yeais n 22 gioup 1 45 to 54 yeais n 27 gioup 2 55 to 64 yeais n 22 gioup 3 65 to 74 yeais n 23 gioup 4 and 75 yeais n 17 gioup 5 . Emeigency coionaiy angiography was peifoimed in hemodynamically stable patients 80 yeais old iegaidless of the electiocaidiogiam pattern. MTH was taigeted to a coie temperature of 32 C to 34 C foi 24 houis. Results Most patients 73 had coionaiy heait disease although its incidence in gioup 1 was lowei than in othei gioups 41 veisus 81 P . In gioup 1 all patients but one undeiwent coionaiy angiography and 33 of them undeiwent associated PCI. In gioup 5 only 53 of patients undeiwent a coionaiy angiography and 44 undeiwent PCI. Oveiall in-hospital suivival was 54 ianging between 52 and 64 in gioups 1 to 4 and 24 in gioup 5. Time fiom collapse to ietuin of spontaneous circulation was associated with mortality odds ratio OR 25th to 75th peicentile