European heart journal. Acute cardiovascular care
-
Eur Heart J Acute Cardiovasc Care · Jun 2014
Dynamic behaviour of lactate values during mild hypothermia in patients with cardiac arrest.
The present investigation was aimed at assessing the dynamic behaviour of lactate values during hypothermia in 33 patients with cardiac arrest. ⋯ In our series, lactate values measured during hypothermia hold a prognostic role in these patients since they are related to in-ICCU death.
-
Eur Heart J Acute Cardiovasc Care · Jun 2014
Case ReportsPrimary PCI: should we stent every single culprit artery?
In four selected patients presenting with ST-segment elevation myocardial infarction (STEMI), aspiration thrombectomy allowed for full filling defect angiographic 'cleaning' of the culprit arteries without need for stent implantation. Obtaining good angiographic results and uneventful early and long-term clinical outcome after thrombus aspiration alone raises the question as to whether stenting the infracted thrombotic artery is mandatory and routinely indicated in every single STEMI patient treated with primary percutaneous coronary intervention.
-
Eur Heart J Acute Cardiovasc Care · Jun 2014
Favourable 5-year postdischarge survival of comatose patients resuscitated from out-of-hospital cardiac arrest, managed with immediate coronary angiogram on admission.
On-admission coronary angiogram (CA) with angioplasty (percutaneous coronary intervention, PCI) may improve survival in patients resuscitated from out-of-hospital cardiac arrest (OHCA), but long-term survival data are scarce. We assessed long-term survival in OHCA patients managed with on-admission CA and PCI if indicated and compared survival rates in patients with/without acute coronary syndrome (ACS). ⋯ OHCA patients undergoing on-admission CA had a very favourable postdischarge survival. Patients with OHCA due to ACS had better survival to discharge at 5-year follow up than patients with OHCA due to other causes.