• Emerg Med J · Jun 2014

    Observational Study

    An observational study of extracorporeal CPR for in-hospital cardiac arrest secondary to myocardial infarction.

    • Tzung-Hsin Chou, Cheng-Chung Fang, Zui-Shen Yen, Chien-Chang Lee, Yih-Sharng Chen, Wen-Je Ko, Chih-Hsien Wang, Sheoi-Shen Wang, and Shyr-Chyr Chen.
    • Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
    • Emerg Med J. 2014 Jun 1;31(6):441-7.

    ObjectiveTo determine the effects of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with in-hospital cardiac arrest (IHCA) due to acute myocardial infarction (AMI).MethodsIHCA patients due to AMI undergoing CPR between 1 January 2006 and 1 July 2010 were analysed retrospectively. We compared the survival outcome of 43 patients who received ECPR with that of 23 patients who underwent conventional CPR.ResultsThe survival rate was 34.9% for patients who received ECPR and 21.8% for those who received conventional CPR (p=0.4). Increased survival rates to hospital discharge were seen in patients with ST segment elevation (p<0.01), or had initial rhythm of ventricular tachycardia/ventricular fibrillation (VT/VF) during resuscitation (p=0.031).ConclusionsECPR may improve survival in cardiac arrest patients who have a ST segment elevation or initial rhythm of VT/VF myocardial infarction.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

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