Resuscitation
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Observational Study
The association between alcohol intake shortly before arrest and survival outcomes of out-of-hospital cardiac arrest.
Alcohol intake is one of the triggers of out-of-hospital cardiac arrest (OHCA) and is associated with survival outcomes due to its relationship with cardiovascular conditions such as variant angina and arrhythmias. The aim of this study was to evaluate the association between alcohol intake shortly before cardiac arrest and survival outcomes after OHCA. ⋯ In OHCA patients with presumed cardiac etiology, alcohol intake shortly before arrest was associated with higher odds of survival outcomes.
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Sudden cardiac arrest survivors with a reversible cause are not eligible for implantable cardioverter defibrillator (ICD) implantation. This study aims to evaluate the risk of recurrent ventricular arrhythmia in sudden cardiac arrest survivors with a reversible cause and evaluate if ICD implantation increases survival. ⋯ This study shows that the recurrence risk of ventricular arrhythmia varies between different reversible causes of sudden cardiac arrest and should not be evaluated as one entity. Cardiac arrest survivors with a reversible cause can be at risk of recurrent ventricular arrhythmia and selected patients may benefit from ICD implantation.
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Randomized Controlled Trial
Cytokine adsorption in patients with post-cardiac arrest syndrome after extracorporeal cardiopulmonary resuscitation (CYTER) - a single-centre, open-label, randomised, controlled trial.
To investigate the effect of cytokine adsorption in patients receiving extracorporeal cardiopulmonary resuscitation (ECPR) after cardiac arrest. ⋯ ClinicalTrials.gov: NCT03685383.
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To compare in-hospital cardiac arrest (IHCA) rates and patient outcomes during the first COVID-19 wave in the United Kingdom (UK) in 2020 with the same period in previous years. ⋯ In comparison with 2016-2019, the first COVID-19 wave in 2020 was associated with a higher rate of IHCA and decreased survival among patients attended by resuscitation teams. These changes were greatest in hospitals with the highest COVID-19 burden.
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Multicenter Study
Sex-related disparities in the in-hospital management of patients with out-of-hospital cardiac arrest.
We investigated sex-related differences in the in-hospital management of patients with out-of-hospital cardiac arrest (OHCA). ⋯ In the PSM cohort, women with OHCA underwent CAG and PCI less frequently than men, regardless of the initial rhythm. However, these sex-related differences narrowed with increasing age. Further studies are needed to confirm the sex-related disparities in the in-hospital management of patients with OHCA.