Angiographic characteristics and long-term prognostic impact of coronary artery disease in survivors after sudden cardiac arrest with a non-diagnostic electrocardiogram
© 2018 Wiley Periodicals, Inc..
OBJECTIVES: Our purpose was to describe the prevalence, distribution, extension, and prognostic value of coronary artery disease (CAD) in patients resuscitated from sudden cardiac arrest (SCA) with non-diagnostic electrocardiogram (ECG).
BACKGROUND: The impact of CAD and the indication for cardiac catheterization (CC) in patients resuscitated from SCA with non-diagnostic ECG are uncertain.
METHODS: We included prospectively and consecutively 545 patients resuscitated from SCA with at least one CC during hospitalization. From them, 203 patients with a non-diagnostic ECG formed our study population. Patients were followed-up 5 years after discharge.
RESULTS: Overall, 125 (61.6%) patients had significant CAD, and at least one acute culprit lesion was found in 25 (12.4%). Regarding the burden and complexity of CAD, 78 (38.4%) patients had a CAD Prognostic Index of 0 and a SYNTAX score of 0. There was higher 5-year mortality only in patients with very high burden of CAD: three vessels with severe stenosis (P = 0.015) and CAD Prognostic Index Score ≥ 56 (P < 0.001). Tertiles of SYNTAX score did not predict higher 5-year mortality.
CONCLUSIONS: In survivors from SCA with a non-diagnostic ECG, significant CAD is highly prevalent. SYNTAX score was not associated with a different long-term prognosis in this patient population. Patients with severe disease in the three main coronary vessels and patients with higher (≥56) CAD Prognostic Index Score had a worse long-term prognosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:93 |
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| Enthalten in: |
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions - 93(2019), 1 vom: 01. Jan., Seite 9-15 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nogales-Romo, María Teresa [VerfasserIn] |
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| Links: |
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| Themen: |
ACS/NSTEMI |
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| Anmerkungen: |
Date Completed 20.01.2020 Date Revised 20.01.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/ccd.27713 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM289160324 |
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| 041 | |a eng | ||
| 100 | 1 | |a Nogales-Romo, María Teresa |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Angiographic characteristics and long-term prognostic impact of coronary artery disease in survivors after sudden cardiac arrest with a non-diagnostic electrocardiogram |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 20.01.2020 | ||
| 500 | |a Date Revised 20.01.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2018 Wiley Periodicals, Inc. | ||
| 520 | |a OBJECTIVES: Our purpose was to describe the prevalence, distribution, extension, and prognostic value of coronary artery disease (CAD) in patients resuscitated from sudden cardiac arrest (SCA) with non-diagnostic electrocardiogram (ECG) | ||
| 520 | |a BACKGROUND: The impact of CAD and the indication for cardiac catheterization (CC) in patients resuscitated from SCA with non-diagnostic ECG are uncertain | ||
| 520 | |a METHODS: We included prospectively and consecutively 545 patients resuscitated from SCA with at least one CC during hospitalization. From them, 203 patients with a non-diagnostic ECG formed our study population. Patients were followed-up 5 years after discharge | ||
| 520 | |a RESULTS: Overall, 125 (61.6%) patients had significant CAD, and at least one acute culprit lesion was found in 25 (12.4%). Regarding the burden and complexity of CAD, 78 (38.4%) patients had a CAD Prognostic Index of 0 and a SYNTAX score of 0. There was higher 5-year mortality only in patients with very high burden of CAD: three vessels with severe stenosis (P = 0.015) and CAD Prognostic Index Score ≥ 56 (P < 0.001). Tertiles of SYNTAX score did not predict higher 5-year mortality | ||
| 520 | |a CONCLUSIONS: In survivors from SCA with a non-diagnostic ECG, significant CAD is highly prevalent. SYNTAX score was not associated with a different long-term prognosis in this patient population. Patients with severe disease in the three main coronary vessels and patients with higher (≥56) CAD Prognostic Index Score had a worse long-term prognosis | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a ACS/NSTEMI | |
| 650 | 4 | |a coronary angiography | |
| 650 | 4 | |a coronary artery disease | |
| 700 | 1 | |a Ferrera, Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Salinas, Pablo |e verfasserin |4 aut | |
| 700 | 1 | |a Martínez-Losas, Pedro |e verfasserin |4 aut | |
| 700 | 1 | |a Nombela-Franco, Luis |e verfasserin |4 aut | |
| 700 | 1 | |a Núñez-Gil, Iván Javier |e verfasserin |4 aut | |
| 700 | 1 | |a Noriega, Francisco Javier |e verfasserin |4 aut | |
| 700 | 1 | |a Del Trigo, María |e verfasserin |4 aut | |
| 700 | 1 | |a Gonzalo, Nieves |e verfasserin |4 aut | |
| 700 | 1 | |a Jiménez-Quevedo, Pilar |e verfasserin |4 aut | |
| 700 | 1 | |a Escaned, Javier |e verfasserin |4 aut | |
| 700 | 1 | |a Fernández-Ortiz, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Macaya, Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Viana-Tejedor, Ana |e verfasserin |4 aut | |
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