Predictive survival models for resuscitated victims of out-of-hospital cardiac arrest with coronary heart disease.
Predictive survival models for resuscitated victims of out-of-hospital cardiac arrest with coronary heart disease.
复制标题
冠心病院外心脏骤停复苏患者的预测生存模型。
DOI：
10.1161/01.cir.71.5.873
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发表时间：
1985
期刊：
影响因子：
37.8
通讯作者：
S. Medendorp
中科院分区：
文献类型：
--
作者：
Sidney Goldstein;J. Landis;R. Leighton;G. Ritter;C. Vasu;R. Wolfe;A. Acheson;S. Medendorp
心脏骤停的冠心病患者复苏后死亡率增加。在我们的随访研究中，227名此类患者中，20%在1年内死亡，50%在3年多一点的时间内死亡。死亡的预测因素与洋地黄的使用、血尿素氮升高、脑血管意外、既往心肌梗死和年龄有关。在103例患者的一个亚组中，在心脏骤停事件发生后3个月内可获得动态心电图记录，复杂性和室性早搏（VPB）（大于或等于25次/小时）的存在被添加到洋地黄和利尿剂治疗的死亡率预测因素中，血尿素氮升高。突然死亡和非突然死亡的患者数量几乎相等。猝死的预测因素是奎尼丁治疗和成对的VPB。心律失常的发生是以前与左心室功能不全相关的死亡率预测因素的重要补充。
Resuscitated victims of cardiac arrest with coronary heart disease represent a group of patients with an accelerated mortality rate. Among 227 such patients in our follow-up study, 20% had died at 1 year and 50% were dead in slightly over 3 years. Predictors of death were related to use of digitalis, elevated blood urea nitrogen, cerebral vascular accident, previous myocardial infarction, and age. In a subset of 103 patients in whom ambulatory electrocardiographic recordings were available within 3 months of the arrest event, the presence of complexity and high-frequency ventricular premature beats (VPBs) (greater than or equal to 25/hr) were added to the mortality predictors of digitalis and diuretic therapy and elevated blood urea nitrogen. An almost equal number of patients died suddenly and nonsuddenly. Predictors of sudden death were treatment with quinidine and paired VPBs. Occurrence of arrhythmias was an important addition to the previous mortality predictors related to left ventricular dysfunction.