This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Myerburg, R. J. Articles by Castellanos, A. Search for Related Content PubMed PubMed Citation Articles by Myerburg, R. J. Articles by Castellanos, A.

Circulation, Vol 70, 538-546, Copyright © 1984 by American Heart Association

ARTICLES

Long-term survival after prehospital cardiac arrest: analysis of outcome during an 8 year study

RJ Myerburg, KM Kessler, D Estes, CA Conde, RM Luceri, L Zaman, PL Kozlovskis and A Castellanos

We analyzed long-term follow-up data accumulated during an 8 year study of survivors of prehospital cardiac arrest. All patients included in this study were primary entrants via community-based rescue systems; patients who were tertiary referrals (survivors of cardiac arrest from other hospitals) were not included in this analysis. In the group of 61 patients entering our study between 1975 and 1980, with a follow-up to 1983, there have been a total of 24 deaths (39%). Sixteen of the 24 deaths were the result of recurrent cardiac arrest; eight were nonsudden cardiac deaths or noncardiac deaths. The mean duration from entry to death in the nonsurvivors was 27.5 +/- 19.7 months, and the time from the index event to last follow-up in the long-term survivors was 59.9 +/- 19.4 months. Life table analysis demonstrated a 10% rate of recurrence of cardiac arrest in the first year, with a 5% per year rate in each of the subsequent 3 years. Left ventricular ejection fractions at entry were not significantly different between survivors (mean = 45.3 +/- 13.6%) and nonsurvivors (mean = 37.6 +/- 12.6%), and the severity of ejection fraction abnormality at entry did not correlate with time to death in the nonsurvivors. However, ejection fraction was significantly lower in patients who died from causes other than recurrent cardiac arrest than in those who died of cardiac arrest (24.5 +/- 9.1% vs 42.7 +/- 9.2%; p less than .002).(ABSTRACT TRUNCATED AT 250 WORDS)

This article has been cited by other articles:

				S. Singh and M. M. Murawski Implantable Cardioverter Defibrillator Therapy and the Need for Concomitant Antiarrhythmic Drugs Journal of Cardiovascular Pharmacology and Therapeutics, September 1, 2007; 12(3): 175 - 180. [Abstract] [PDF]

				R. Cappato, S. Boczor, K.-H. Kuck, and on behalf of the CASH Investigators Response to programmed ventricular stimulation and clinical outcome in cardiac arrest survivors receiving randomised assignment to implantable cardioverter defibrillator or antiarrhythmic drug therapy Eur. Heart J., April 2, 2004; 25(8): 642 - 649. [Abstract] [Full Text] [PDF]

				B. Sterk, A.P. van Alem, R. Tukkie, T.A. Simmers, and R.W. Koster ICD-implantation guidelines versus clinical practice: a prospective study of out-of-hospital cardiac arrest survivors Europace, January 1, 2004; 6(3): 179 - 183. [Abstract] [Full Text] [PDF]

				A. E. B. van der Burg, J. J. Bax, E. Boersma, E. K.J. Pauwels, E. E. van der Wall, and M. J. Schalij Impact of Viability, Ischemia, Scar Tissue, and Revascularization on Outcome After Aborted Sudden Death Circulation, October 21, 2003; 108(16): 1954 - 1959. [Abstract] [Full Text] [PDF]

				K.-H. Kuck, R. Cappato, J. Siebels, and R. Ruppel Randomized Comparison of Antiarrhythmic Drug Therapy With Implantable Defibrillators in Patients Resuscitated From Cardiac Arrest : The Cardiac Arrest Study Hamburg (CASH) Circulation, August 15, 2000; 102(7): 748 - 754. [Abstract] [Full Text] [PDF]

				C B Pepper, P D Batin, M Ryder, J Bannister, J C Cowan, and A F Mackintosh Antiarrhythmic management and implantable defibrillator use in survivors of prehospital cardiac arrest without myocardial infarction in West Yorkshire Heart, March 1, 2000; 83(3): 312 - 315. [Abstract] [Full Text]

				A. E. Epstein, J. Powell, Q. Yao, C. Ocampo, S. Lancaster, Y. Rosenberg, D. S. Cannom, J. M. Herre, H. L. Greene, and the AVID Investigators In-hospital versus out-of-hospital presentation of life-threatening ventricular arrhythmias predicts survival: Results from the AVID registry J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1111 - 1116. [Abstract] [Full Text] [PDF]

				T. K. Kaul, B. L. Fields, L. S. Riggins, D. A. Wyatt, and C. R. Jones Venticular arrhythmia following successful myocardial revascularization: incidence, predictors and prevention Eur. J. Cardiothorac. Surg., June 1, 1999; 13(6): 629 - 636. [Abstract] [Full Text] [PDF]

				T. K. Kaul, A. K. Agnihotri, B. L. Fields, L. S. Riggins, D. A. Wyatt, and C. R. Jones CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH AN EJECTION FRACTION OF TWENTY PERCENT OR LESS J. Thorac. Cardiovasc. Surg., May 1, 1996; 111(5): 1001 - 1012. [Abstract] [Full Text]