排序方式: 共有2条查询结果,搜索用时 0 毫秒
1
1.
Pluymaekers N. A. H. A. Dudink E. A. M. P. Weijs B. Vernooy K. Hartgerink D. E. J. Jacobs J. S. Erküner Ö. Marcks N. G. H. M. van Cauteren Y. J. M. Dinh T. ter Bekke R. M. A. Sels J. E. M. W. Delnoij T. S. R. Geyik Z. Driessen R. G. H. Linz D. K. den Uijl D. W. Crijns H. J. G. M. Luermans J. G. L. M. 《Netherlands heart journal》2021,29(5):255-261
Netherlands Heart Journal - The current standard of care for acute atrial fibrillation (AF) focuses primarily on immediate restoration of sinus rhythm by cardioversion, although AF often terminates... 相似文献
2.
A.S. Sharma R.W.M. Pijls P.W. Weerwind T.S.R. Delnoij W.C. de Jong A.P.M. Gorgels J.G. Maessen 《Netherlands heart journal》2016,24(2):120-126
Aim
The current outcome of out-of-hospital cardiac arrest (OHCA) patients in the Maastricht region was analysed with the prospect of implementing extracorporeal cardiopulmonary resuscitation (E-CPR).Methods
A retrospective analysis of adult patients who were resuscitated for OHCA during a 24-month period was performed.Results
195 patients (age 66 [57–75] years, 82 % male) were resuscitated for OHCA by the emergency medical services and survived to admission at the emergency department. Survival to hospital discharge was 46.2 %. Notable differences between non-survivors and survivors were observed and included: age (70 [58–79] years) vs. (63 [55–72] years, p = 0.01), chronic heart failure (18 vs. 7 %, p = 0.02), shockable rhythm (67 vs. 99 %, p < 0.01), and return of spontaneous circulation (ROSC) at departure from the site of the arrest (46 vs. 99 %, p < 0.01) and on arrival to the emergency department (43 vs. 98 %, p < 0.01), respectively. Acute coronary syndrome was diagnosed in 32 % of non-survivors vs. 59 % among survivors, p < 0.01. Therapeutic hypothermia was provided in non-survivors (20 %) vs. survivors (43 %), p < 0.01. Percutaneous coronary intervention (PCI) was performed in 14 % of non-survivors while 52 % of survivors received PCI (p < 0.01). No statistical significance was observed in terms of gender, witnessed arrest, bystander CPR, or automated external defibrillator deployed among the cohort. At hospital discharge, moderately severe neurological disability was present in six survivors.Conclusion
These observations are compatible with the notion that a shockable rhythm, ROSC, and post-arrest care improve survival outcome. Potentially, initiating E-CPR in the resuscitation phase in patients with a shockable rhythm and no ROSC might serve as a bridge to definite treatment and improve survival outcome. 相似文献
1