Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1425
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dc.contributorDawson, L.en_US
dc.contributorDinh, D.en_US
dc.contributorDuffy, S.en_US
dc.contributorBrennan, A.en_US
dc.contributorClark, D.en_US
dc.contributorReid,C.en_US
dc.contributorBlusztein, D.en_US
dc.contributorStub, D.en_US
dc.contributorAndrianopoulos, N.en_US
dc.contributorFreeman, M.en_US
dc.contributorOqueli, Ernestoen_US
dc.contributorHutchison, A.en_US
dc.contributorAjani, A.en_US
dc.date.accessioned2019-10-16T03:10:25Z-
dc.date.available2019-10-16T03:10:25Z-
dc.date.issued2019-
dc.identifier.govdoc01376en_US
dc.identifier.urihttp://hdl.handle.net/11054/1425-
dc.description.abstractBackground: Outcomes after out-of-hospital cardiac arrest (OHCA) remain poor, and percutaneous coronary intervention (PCI) may have prognostic benefit in patients with a culprit coronary lesion. We aimed to describe outcomes among patients undergoing PCI following OHCA and the effect of ST-elevation myocardial infarction on outcome. Methods: Data were prospectively collected on 1,047 consecutive PCI procedures following OHCA at six Victorian public hospitals from 2005 to 2017. Patients were divided into those with STEMI (OHCA-S) and those without (OHCA-NS). Outcomes were compared against patients with STEMI only without OHCA ( n = 9,694). Results: OHCA-S patients were younger and the treated lesion was more commonly occluded at time of PCI (63% vs 22%, p < 0.001). GP-IIb/IIIa antagonists, thrombus aspiration and intra-aortic balloon pump insertion were more frequently used for OHCA-S ( p < 0.01). Cardiogenic shock (CS) was present in 47% of OHCA-S and 29% of OHCA-NS ( p < 0.001). 30-day mortality was 34% for the OHCA-S and 18% for the OHCA-NS group. However, OHCA-S and OHCA-NS had similar long-term outcomes to the STEMI only group if they survived to 30-days. Multivariable predictors for 30-day mortality after PCI for OHCA were diabetes, impaired renal or LV function, and CS. Conclusions: PCI following OHCA has a high 30-day mortality, with worse outcomes among patients with STEMI. Beyond 30-days, long-term outcomes are similar to uncomplicated STEMI cohorts.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-07-30T05:29:56Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-10-16T03:10:25Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2019-10-16T03:10:25Z (GMT). No. of bitstreams: 0 Previous issue date: 2019en
dc.relation.urihttp://dx.doi.org/10.1016/j.hlc.2019.06.665en_US
dc.titlePercutaneous coronary intervention outcomes following out-of-hospital cardiac arrest for patients with and without ST-elevation myocardial infarction.en_US
dc.typeConferenceen_US
dc.type.specifiedPresentationen_US
dc.bibliographicCitation.conferencedateAugust 8th-11then_US
dc.bibliographicCitation.conferencename67th Cardiac Society of Australia and New Zealand Annual Scientific Meeting, the International Society for Heart Research Australasian Section Annual Scientific Meeting and the 13th Annual Australia and New Zealand Endovascular Therapies Meeting.en_US
dc.bibliographicCitation.conferenceplaceAdelaide, Australiaen_US
dc.subject.healththesaurusPERCUTANEOUS CORONARY INTERVENTIONen_US
dc.subject.healththesaurusOUT-OF-HOSPITAL CARDIAC ARRESTen_US
dc.subject.healththesaurusST-ELEVATION MYOCARDIAL INFARCTIONen_US
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