• Raimundo Carmona-Puerta, José Luis Choque-Laura, Elibet Chávez-González, Joel Peñaló-Batista, Marielys Del Carmen Martínez-Sánchez, and Elizabeth Lorenzo-Martínez.
• Universidad Católica del Cibao, La Vega, República Dominicana. Electronic address: endotelio1975@gmail.com.
• Med Clin (Barc). 2024 Jun 28; 162 (12): 574580574-580.

Background And ObjectiveIn-hospital cardiac arrest (IHCA) has a low survival rate, so it is essential to recognize the cases with the highest probability of developing it. The aim of this study is to identify factors associated with the occurrence of IHCA.Material And MethodsA single-center case-control study was conducted including 65 patients admitted to internal medicine wards for non-cardiovascular causes who experienced IHCA, matched with 210 admitted controls who did not present with IHCA.ResultsThe main reason for admission was pneumonia. The most prevalent comorbidity was arterial hypertension. Four characteristics were strongly and independently associated with IHCA presentation, these are electrical left ventricular hypertrophy (LVH) (OR: 13.8; 95% IC: 4.7-40.7), atrial fibrillation (OR: 9.4: 95% CI: 4.3-20.6), the use of drugs with known risk of torsades de pointes (OR: 2.7; 95% CI: 1.3-5.5) and the combination of the categories known risk plus conditional risk (OR: 17.1; 95% CI: 6.7-50.1). The first two detected in the electrocardiogram taken at the time of admission.ConclusionIn admitted patients for non-cardiovascular causes, the use of drugs with a known risk of torsades de pointes, as well as the detection of electrical LVH and atrial fibrillation in the initial electrocardiogram, is independently associated with a higher probability of suffering a IHCA.Copyright © 2024 Elsevier España, S.L.U. All rights reserved.

41 keywords...

hide…