Patterns of use of targeted temperature management for acute myocardial infarction patients following out-of-hospital cardiac arrest: Insights from the National Cardiovascular Data Registry

Christopher B Fordyce; Anita Y Chen; Tracy Y Wang; Joseph Lucas; Abhinav Goyal; Graham C Wong; Sean van Diepen; Michael C Kontos; Timothy D Henry; Christopher B Granger; Matthew T Roe

doi:10.1016/j.ahj.2018.08.013

Patterns of use of targeted temperature management for acute myocardial infarction patients following out-of-hospital cardiac arrest: Insights from the National Cardiovascular Data Registry

Am Heart J. 2018 Dec:206:131-133. doi: 10.1016/j.ahj.2018.08.013. Epub 2018 Sep 24.

Authors

Affiliations

¹ Division of Cardiology, University of British Columbia, Vancouver, BC, Canada. Electronic address: [email protected].
² Duke Clinical Research Institute, Durham, NC.
³ Department of Medicine, Emory University School of Medicine, Atlanta, GA.
⁴ Division of Cardiology, University of British Columbia, Vancouver, BC, Canada.
⁵ Department of Critical Care and Division of Cardiology, University of Alberta, Edmonton, AB, Canada.
⁶ Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
⁷ Cedars-Sinai Heart Institute, Los Angeles, CA.

PMID: 30528916
DOI: 10.1016/j.ahj.2018.08.013

Abstract

Contemporary utilization patterns for targeted temperature management (TTM) among patients with acute myocardial infarction (MI) and out-of-hospital cardiac arrest (OHCA) have not been well characterized in the United States. In this nationwide evaluation of MI patients with OHCA (01/2015-03/2016; 691 hospitals), 34.1% (1792/5260) of OHCA patients received TTM. Patients who were treated with TTM had higher risk clinical features. A wide inter-hospital variation (ranging from 0% to 82%) in TTM use observed despite few differences in case mix.

Publication types

Letter
Research Support, Non-U.S. Gov't

MeSH terms

Cardiopulmonary Resuscitation / methods*
Female
Humans
Hypothermia, Induced / methods*
Male
Middle Aged
Myocardial Infarction / complications
Myocardial Infarction / therapy*
Out-of-Hospital Cardiac Arrest / etiology
Out-of-Hospital Cardiac Arrest / therapy*
Registries*
United States