1. Impact of percutaneous coronary intervention or coronary artery bypass grafting on outcome after nonfatal cardiac arrest outside the hospital
- Author
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Ernst E. van der Wall, Alida E Borger van der Burg, Marianne Bootsma, Lieselot van Erven, Martin J. Schalij, Eric Boersma, Jeroen J. Bax, Cardiology, and Internal Medicine
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Myocardial Reperfusion Injury ,Coronary Angiography ,Revascularization ,Balloon ,Coronary artery disease ,Postoperative Complications ,Recurrence ,Angioplasty ,Internal medicine ,Ambulatory Care ,medicine ,Humans ,Derivation ,Angioplasty, Balloon, Coronary ,Coronary Artery Bypass ,Radionuclide Imaging ,Survival analysis ,Aged ,Aged, 80 and over ,business.industry ,Percutaneous coronary intervention ,Stroke Volume ,Middle Aged ,medicine.disease ,Survival Analysis ,Heart Arrest ,Treatment Outcome ,medicine.anatomical_structure ,Ambulatory Surgical Procedures ,Echocardiography ,cardiovascular system ,Cardiology ,Female ,Electrophysiologic Techniques, Cardiac ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies ,Artery - Abstract
Survivors of cardiac arrest due to ventricular arrhythmias are at risk for recurrent events. The role of revascularization in secondary prevention for survivors of cardiac arrest has been addressed in various studies with conflicting results. A total of 142 survivors of cardiac arrest with coronary artery disease were evaluated according to a standardized protocol, including 2-dimensional echocardiography, myocardial perfusion scintigraphy, coronary angiography, and electrophysiologic testing. Revascularization of scintigraphically documented ischemic myocardial regions was performed in 44 patients (31%). Final therapy was based on the results of electrophysiologic testing. Four-year survival rates were 100% for revascularized noninducible patients, 84% for revascularized inducible patients, 91% for nonrevascularized noninducible patients, and 72% for nonrevascularized inducible patients. Only 1 patient (
- Published
- 2003
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