American Heart Journal
Volume 157, Issue 3 , Pages 569-575.e1 , March 2009

Emergency percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by out-of-hospital cardiac arrest: Early and medium-term outcome

  • Corrado Lettieri, MD

      Affiliations

    • Department of Cardiology, Ospedale Carlo Poma, Mantova, Italy
    • Corresponding Author InformationReprint requests: Corrado Lettieri, MD, Department of Cardiology, Carlo Poma Hospital, Viale Albertoni 1, 46100 Mantova, Italy.
    • ,
  • Stefano Savonitto, MD

      Affiliations

    • Department of Cardiology, Ospedale Niguarda Ca' Granda, Milano, Italy
    • ,
  • Stefano De Servi, MD

      Affiliations

    • Department of Cardiology, Ospedale Civile, Legnano, Italy
    • ,
  • Giulio Guagliumi, MD

      Affiliations

    • Department of Cardiology, Ospedali Riuniti, Bergamo, Italy
    • ,
  • Guido Belli, MD

      Affiliations

    • Department of Cardiology, Istituto Clinico Humanitas, Rozzano, Italy
    • ,
  • Alessandra Repetto, MD

      Affiliations

    • Department of Cardiology, Policlinico San Matteo, Pavia, Italy
    • ,
  • Emanuela Piccaluga, MD

      Affiliations

    • Department of Cardiology, Ospedale Sacco, Milano, Italy
    • ,
  • Alessandro Politi, MD

      Affiliations

    • Department of Cardiology, Ospedale Moriggia-Pelascini, Gravedona, Italy
    • ,
  • Federica Ettori, MD

      Affiliations

    • Department of Cardiology, Ospedali Civili, Brescia, Italy
    • ,
  • Battistina Castiglioni, MD

      Affiliations

    • Department of Cardiology, Ospedale di Circolo, Varese, Italy
    • ,
  • Franco Fabbiocchi, MD

      Affiliations

    • Department of Cardiology, Centro Cardiologico Monzino, Milano, Italy
    • ,
  • Nicoletta De Cesare, MD

      Affiliations

    • Department of Cardiology, Policlinico San Marco, Zingonia, Italy
    • ,
  • Giuseppe Sangiorgi, MD

      Affiliations

    • Department of Cardiology, Ospedale San Raffaele, Milano, Italy
    • ,
  • Giuseppe Musumeci, MD

      Affiliations

    • Department of Cardiology, Ospedali Riuniti, Bergamo, Italy
    • ,
  • Marco Onofri, MD

      Affiliations

    • Department of Cardiology, Ospedale di Circolo, Busto Arsizio, Italy
    • ,
  • Maurizio D'Urbano, MD

      Affiliations

    • Department of Cardiology, Ospedale Civile, Legnano, Italy
    • ,
  • Salvatore Pirelli, MD

      Affiliations

    • Department of Cardiology, Istituti Ospedalieri, Cremona, Italy.
    • ,
  • Roberto Zanini, MD

      Affiliations

    • Department of Cardiology, Ospedale Carlo Poma, Mantova, Italy
    • ,
  • Silvio Klugmann, MD

      Affiliations

    • Department of Cardiology, Ospedale Niguarda Ca' Granda, Milano, Italy
    • ,
  • on behalf of the LombardIMA Study Group

      Affiliations

    • See Appendix A for the complete group of the LombardIMA Study Group.

Received 1 September 2008 ,Accepted 26 October 2008.

References 

  1. Spöhr F, Arntz HR, Bluhmki E, et al. International multicentre trial protocol to assess the efficacy and safety of tenecteplase during cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest: the Thrombolysis in Cardiac Arrest (TROICA) Study. Eur J Clin Invest. 2005;35:315–323
  2. Stadlbauer KH, Krismer AC, Arntz HR, et al. Effects of thrombolysis during out-of hospital cardiopulmonary resuscitation. Am J Cardiol. 2006;97:305–308
  3. Kahn JK, Glazier RN, Swor R, et al. Primary coronary angioplasty for acute myocardial infarction complicated by out-of hospital cardiac arrest. Am J Cardiol. 1995;75:1069–1070
  4. Bendz B, Eritsland J, Nakstad AR, et al. Long-term prognosis after out-of hospital cardiac arrest and primary percutaneous coronary intervention. Resuscitation. 2004;63:49–53
  5. Garot P, Lefevre T, Eltchaninoff H, et al. Six-month outcome of emergency percutaneous coronary intervention in resuscitated patients after cardiac arrest complicating ST elevation myocardial infarction. Circulation. 2007;115:1354–1362
  6. Earnest RP, Yarnell PY, Merrill SL, et al. Long-term survival and neurologic status after resuscitation from out-of hospital cardiac arrest. Neurology. 1980;30:1298–1302
  7. Graves JR, Herlitz J, Bang A, et al. Survivors of out-of hospital cardiac arrest: the prognosis, longevity and functional status. Resuscitation. 1997;35:117–121
  8. Lim C, Alexander MP, LaFleche G, et al. The neurological and cognitive sequelae of cardiac arrest. Neurology. 2004;63:1774–1778
  9. Nolan JP, Morley PT, Vanden hoeck TL, et al. Therapeutic hypothermia after cardiac arrest. An advisory statement by the Advanced Life Support Task Force of the International Liaison Committee on Resuscitation. Resuscitation. 2003;57:231–235
  10. Rao AK, Pratt C, Berke A, et al. Thrombolysis in myocardial infarction (TIMI) trial—phase I: hemorrhagic manifestations and changes in plasma fibrinogen and the fibrinolytic system in patients treated with recombinant tissue plasminogen activator and streptokinase. J Am Coll Cardiol. 1988;11:1–11
  11. Teasdale G, Murray G, Parker L, et al. Adding up the Glasgow Coma score. Acta Neurochir Suppl. 1979;28:13–16
  12. The Brain Resuscitation Clinical Trial II study group. A randomized clinical study of calcium entry blocker administration to comatose survivors of cardiac arrest: design, methods, and patient characteristics. Control Clin Trials. 1991;12:525–545
  13. Morrison LJ, Visentin LM, Kiss A, et al. Validation of a rule for termination of resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2006;355:478–487
  14. Fisher M, Fisher NJ, Schuttler J. One-year survival after out-of hospital cardiac arrest in Bonn city: outcome report according to the “Utstein style. Resuscitation. 1997;33:233–243
  15. Böttiger BW, Grabner C, Bauer H, et al. Long term outcome after out-of hospital cardiac arrest with physician staffed emergency medical services: the Utstein style applied to a midsize urban/suburban area. Heart. 1999;82:674–679
  16. Bunch TJ, West CP, Packer DL, et al. Admission predictors of in-hospital mortality and subsequent long-term outcome in survivors of ventricular fibrillation out-of-hospital cardiac arrest: a population-based study. Cardiology. 2004;102:41–47
  17. Engdahl J, Holmberg M, Karlson BW, et al. The epidemiology of out-of hospital cardiac arrest. Resuscitation. 2002;52:235–245
  18. Herlitz J, Ekstrom L, Wennerblom B, et al. Survival in patients found to have ventricular fibrillation after cardiac arrest witnessed outside hospital. Eur Heart J. 1994;15:1628–1633
  19. Antman EM, Anbe DT, Armstrong PW, et al. American College of Cardiology; American Heart Association Task Force on Practice Guidelines. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction-executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). 2004;Available at: www.acc.org/clinical/guidelines/stemi/index.pdfLast accessed October 16, 2008
  20. Holmberg M, Holmberg S, Herlitz J. Incidence, duration and survival of ventricular fibrillation in out-of hospital cardiac arrest patients in Sweden. Resuscitation. 2000;44:7–17
  21. Ornato JP, Peberdy MA. The mystery of bradyasystole during cardiac arrest. Ann Emerg Med. 1996;27:576–587
  22. Snyder BD, Ramire-Lassepass M, Lippert DM. Neurologic status and prognosis after cardiopulmonary arrest: I. A retrospective study. Neurology. 1977;27:807–811
  23. Bunch TJ, White RD, Gersh BJ, et al. Long term outcome of out-of-hospital cardiac arrest after successful early defibrillation. N Engl J Med. 2003;348:2626–2633
  24. Edgren E, Hedstrand U, Kesley S, et al. Assessment of neurological prognosis in comatose survivors of cardiac arrest. Lancet. 1994;343:1055–1059
  25. Nichol G, Thomas E, Callaway CW, et al. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA. 2008;300:1423–1431

PII: S0002-8703(08)00909-5

doi: 10.1016/j.ahj.2008.10.018

American Heart Journal
Volume 157, Issue 3 , Pages 569-575.e1 , March 2009

Article Tools

* Image Usage & Resolution