Out-of-hospital cardiac arrest: Concise review of strategies to improve outcome

Richard J Jabbour; Sayan Sen; Ghada W Mikhail; Iqbal S Malik

doi:10.1016/j.carrev.2017.03.011

Out-of-hospital cardiac arrest: Concise review of strategies to improve outcome

Cardiovasc Revasc Med. 2017 Sep;18(6):450-455. doi: 10.1016/j.carrev.2017.03.011. Epub 2017 Mar 15.

Authors

Richard J Jabbour¹, Sayan Sen², Ghada W Mikhail¹, Iqbal S Malik³

Affiliations

¹ Imperial College Healthcare NHS trust, London, United Kingdom.
² Imperial College Healthcare NHS trust, London, United Kingdom; Imperial College London, UK.
³ Imperial College Healthcare NHS trust, London, United Kingdom; Imperial College London, UK. Electronic address: [email protected].

PMID: 28336077
DOI: 10.1016/j.carrev.2017.03.011

Abstract

Despite decades of research, cardiac arrest remains a major cause of morbidity and mortality, with frustratingly poor survival rates of approximately 10% to hospital discharge. Various strategies have been shown to improve survival, but differing degrees of implementation have led to a disparity in survival rates. These improvements, however, are balanced against the increasing age of patients presenting with out of hospital cardiac arrest and decreasing incidence of ventricular fibrillation, the rhythm with the best outcome. In this review, we will summarize the most up-to-date literature on key questions in the management pathway and recommend evidence based strategies to improve care.

Keywords: Coronary angiography; Out of hospital cardiac arrest; Return of spontaneous circulation.

Publication types

Review

MeSH terms

Cardiopulmonary Resuscitation / mortality*
Emergency Medical Services / statistics & numerical data*
Humans
Out-of-Hospital Cardiac Arrest / diagnosis
Out-of-Hospital Cardiac Arrest / mortality*
Survival Rate
Treatment Outcome
Ventricular Fibrillation / mortality*