This Article Free upon publication Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Search for Related Content Related Collections Related Articles

(Circulation. 2006;114:2753.)
© 2006 American Heart Association, Inc.

Issue Highlights

An extract of the first 250 words of the full text is provided, because this article has no abstract.

	INCREASING USE OF CARDIOPULMONARY RESUSCITATION DURING OUT-OF-HOSPITAL VENTRICULAR FIBRILLATION ARREST: SURVIVAL IMPLICATIONS OF GUIDELINE CHANGES, by Rea et al.

 
Even relatively brief interruptions of chest compressions, such as pauses required for assessment of the cardiac rhythm by an automatic external defibrillator, reduce survival in experimental models of cardiac arrest. American Heart Association guidelines for cardiopulmonary resuscitation have been revised accordingly to include a single shock, rather than stacked defibrillation shocks, followed by immediate resumption of cardiopulmonary resuscitation and delayed reassessment of cardiac rhythm. Do these changes improve patient outcomes? Rea and colleagues studied outcomes from out-of-hospital cardiac arrest before and after cardiopulmonary resuscitation protocol changes were implemented in King County, Washington. They observed an improvement in survival to hospital discharge. Recorded automatic external defibrillator data showed increased time spent with chest compressions. The findings provide support for minimizing interruptions in cardiopulmonary resuscitation. The study also illustrates how analysis of community data can provide reassurance that unanticipated adverse effects do not offset potential benefits when protocol changes supported by strong experimental evidence are applied to out-of-hospital cardiac arrest victims. See p 2760 (and editorial p 2754).

	ETHNIC AND GENDER DIFFERENCES IN AMBULATORY BLOOD PRESSURE TRAJECTORIES: RESULTS FROM A 15-YEAR LONGITUDINAL STUDY IN YOUTH AND YOUNG ADULTS, by Wang et al.

 
In the United States, blacks experience a greater burden of hypertension and associated cardiovascular disease compared to whites. The reasons for these ethnic differences are incompletely understood. In this issue of Circulation, Wang and colleagues evaluated longitudinal trajectories of 24-hour ambulatory blood pressure (BP) using serial recordings obtained in black and white children over a 15-year period. The authors observed that black children had higher levels of both systolic and diastolic BP during day and night from early adolescence onwards. A striking . . . [Full Text of this Article]

Related Articles:

Measuring Progress in Resuscitation: It’s Time for a Better Tool

Joseph P. Ornato and Mary Ann Peberdy
Circulation 2006 114: 2754-2756. [Extract] [Full Text]

A Quadricuspid Aortic Valve With Severe Aortic Regurgitation

Michèle Desruennes, Richard Isnard, Alain Pavie, Philippe Cluzel, and Jean-Philippe Metzger
Circulation 2006 114: e642-e643. [Extract] [Full Text]

Acute Coronary Syndrome due to Intramural Hematoma

Hisanori Fujikura, Yoshiki Hata, Yoshihiro Morino, Atsushi Matsuzaki, Keiko Oikawa, Yuji Ikari, and Junichi Taguchi
Circulation 2006 114: e644-e645. [Extract] [Full Text]

Definitive Diagnosis of Obstructed Total Anomalous Pulmonary Venous Drainage in a Critically Ill Newborn With High-Resolution Computed Tomography

Phalla Ou, David S. Celermajer, Bertrand Stos, Eloi Marijon, Pascal Vouhé, Francis Brunelle, Damien Bonnet, and Daniel Sidi
Circulation 2006 114: e646-e647. [Extract] [Full Text]

Letter by Brilakis and Banerjee Regarding Article, "Impact of Internal Mammary Artery Conduit on Long-Term Outcomes After Percutaneous Intervention of Saphenous Vein Graft"

Emmanouil S. Brilakis and Subhash Banerjee
Circulation 2006 114: e648. [Extract] [Full Text]

Risks Associated With Statin Therapy: A Systematic Overview of Randomized Clinical Trials

Amir Kashani, Christopher O. Phillips, JoAnne M. Foody, Yongfei Wang, Sandeep Mangalmurti, Dennis T. Ko, and Harlan M. Krumholz
Circulation 2006 114: 2788-2797. [Abstract] [Full Text]

Ethnic and Gender Differences in Ambulatory Blood Pressure Trajectories: Results From a 15-Year Longitudinal Study in Youth and Young Adults

Xiaoling Wang, Joseph C. Poole, Frank A. Treiber, Gregory A. Harshfield, Coral D. Hanevold, and Harold Snieder
Circulation 2006 114: 2780-2787. [Abstract] [Full Text]