Extracorporeal CPR in Out-of-Hospital Cardiac Arrest — Still on Life Support?

Despite many advances in the treatment of heart disease over the past four decades, up to one third of all patients with acute manifestations of heart disease do not reach the hospital after cardiac arrest. Only 8 to 10% of patients with out-of-hospital cardiac arrest survive; the event is responsib...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 388; no. 4; pp. 370 - 371
Main Authors: Keaney, John F., Münzel, Thomas
Format: Journal Article
Language:English
Published: United States Massachusetts Medical Society 26.01.2023
Subjects:
Cardiac Arrest
Cardiac arrhythmia
Cardiology
Cardiology General
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - methods
Cardiovascular disease
CPR
Emergency Medicine
Emergency Medicine General
Extracorporeal membrane oxygenation
Fibrillation
Heart diseases
Humans
Ischemia
Lifesaving
Medical prognosis
Out-of-Hospital Cardiac Arrest - therapy
Patients
Retrospective Studies
Statistical power
Ventricle
ISSN:0028-4793, 1533-4406, 1533-4406
Online Access:Get full text
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Summary:Despite many advances in the treatment of heart disease over the past four decades, up to one third of all patients with acute manifestations of heart disease do not reach the hospital after cardiac arrest. Only 8 to 10% of patients with out-of-hospital cardiac arrest survive; the event is responsible for up to 570,000 deaths annually in North America and Europe. The patients who are most likely to survive cardiac arrest are those who present with ventricular fibrillation that is responsive to defibrillation. Yet even among patients with a shockable rhythm, up to half will have ventricular fibrillation that is . . .
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ISSN:0028-4793
1533-4406
1533-4406
DOI:10.1056/NEJMe2214116