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Comparative Study
Long-term prognosis after out-of-hospital cardiac arrest and primary percutaneous coronary intervention.
- B Bendz, J Eritsland, A R Nakstad, M Brekke, N E Kløw, P A Steen, and A Mangschau.
- Department of Cardiology, Ullevål University Hospital, N-0407 Oslo, Norway. bendz@rikshospitalet.no
- Resuscitation. 2004 Oct 1;63(1):49-53.
AimsTo study the long-term survival after out-of-hospital cardiac arrest and successful cardiopulmonary resuscitation (CPR) in patients with acute ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI).Material And MethodsIn-hospital and 2-year survival of 40 patients treated with primary PCI after out-of-hospital cardiac arrest and STEMI was compared with that of a reference group of 325 STEMI patients, without cardiac arrest, also treated with primary PCI in the same period.ResultsIn the group with out-of-hospital cardiac arrest, both in-hospital and 2-year mortality was 27.5%. In the reference group, in-hospital and 2-year mortality was 4.9 and 7.1%, respectively. After discharge from hospital there was no significant difference in mortality between the groups.ConclusionLong-term prognosis is good in selected patients after successful out-of-hospital CPR and STEMI treated with primary PCI.
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