scholarly journals INFLUENCE OF CARDIAC ARREST AND CARDIOGENIC SHOCK ON OUTCOMES AMONG 4,500 CONSECUTIVE ST ELEVATION MYOCARDIAL INFARCTION PATIENTS

2017 ◽  
Vol 69 (11) ◽  
pp. 192
Author(s):  
Claire Donovan ◽  
Benjamin Johnson ◽  
Ross Garberich ◽  
John Hibbs ◽  
David Larson ◽  
...  
2019 ◽  
Vol 73 (9) ◽  
pp. 167 ◽  
Author(s):  
Jeffrey Tyler ◽  
Jason Henry ◽  
Ross Garberich ◽  
Scott Sharkey ◽  
David Larson ◽  
...  

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
R Zahn ◽  
M Hochadel ◽  
B Schumacher ◽  
M Pauschinger ◽  
C Stellbrink ◽  
...  

Abstract Background Cardiogenic shock (CS) in patients (pts) with acute ST elevation myocardial infarction (STEMI) is the strongest predictor of hospital mortality. Radial in contrast to femoral access in STEMI pts might be associated with a lower mortality. However, little is known on radial access in CS pts. Methods We retrospectively analysed all STEMI pts between 2009 and 2015 who sufferend from CS and who were included into the ALKK PCI registry. Pts treated via a radial access were compared to those treated via a femoral access. Results Between 2009 and 2015 23796 STEMI pts were included in the registry. 1763 (7.4%) of pts were in CS. The proportion of radial access was 6.6%: in 2009 4.0% and in 2015 19.6%, p for trend <0.0001 with a strong variation between the participating centres (0% to 37%). Conclusions Radial access was only used in 6.6% of STEMI pts presenting in CS. However, a significant increase in the use of radial access was observed over time (2009: 4%, 2015 19.6%, p<0.001), with a great variance in its use between the participating hospitals. Despite similar pt characteristics the difference in hospital mortality according to access site has to be interpretated with caution. Funding Acknowledgement Type of funding source: None


2018 ◽  
Vol 11 (4) ◽  
pp. S2
Author(s):  
Prabhjot Singh ◽  
Chencan Zhu ◽  
Puja Parikh ◽  
Javed Butler ◽  
Jie Yang ◽  
...  

2013 ◽  
Vol 83 (1) ◽  
pp. E1-E7 ◽  
Author(s):  
Toshiharu Fujii ◽  
Naoki Masuda ◽  
Takeshi Ijichi ◽  
Yoshinari Kamiyama ◽  
Shigemitsu Tanaka ◽  
...  

2021 ◽  
Vol 148 (12) ◽  
pp. 141-145
Author(s):  
Pham Minh Tuan ◽  
Doan Tuan Vu

Coronary heart disease in young patients always poses great challenges for every healthcare system with differences in clinical manifestations, etiology, epidemiology, angiographic characteristics and prognosis. The objective of this study was to describe a case of ST-elevation myocardial infarction complicated by cardiac arrest in a young patient with familial dyslipidemia. A 30-year-old male visited our hospital with typical angina. During the examination, he suffered a sudden loss of consciousness, the monitor showed ventricular fibrillation. After successful resuscitation of cardiac arrest, electrocardiography showed apparent ST-elevation from V2 to V6 leads consistent with the diagnosis of anterolateral infarction. Emergency coronary angiogram showed severe three-vessel lesions including complete occlusion of the LAD artery and 80 - 90% stenosis of the other two coronary branches. Our patient’s coronary arteries were revascularized using drug-eluting stents in LAD artery and subsequently RCA artery, stem cell therapy was applied during the interventional process. Routine laboratory test results showed dyslipidemia and his family records suggested familiar (hereditary) dyslipidemia which affected his mother and sister. 1-month follow-up echocardiography showed a drastic improvement of LVEF by roughly 15%. The combination of revascularization, stem cell therapy, and lipid-lowering therapy has shown a good therapeutic effect.


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