High resolution ECG-aided early prognostic model for comatose survivors of out of hospital cardiac arrest.
J Electrocardiol
; 48(4): 544-50, 2015.
Article
en En
| MEDLINE
| ID: mdl-25911585
ABSTRACT
Out of hospital cardiac arrest (OHCA) has a high mortality despite modern treatment. Reliable early prognosis in OHCA could significantly improve clinical decision making. We explored prognostic utility of advanced ECG parameters, obtained from high-resolution ECG, in combination with clinical and OHCA-related parameters during treatment with mild induced hypothermia (MIH) and after rewarming in unconscious survivors of OHCA. Ninety-two patients during MIH and 66 after rewarming were included. During MIH, a score based on initial rhythm, QRS-upslope and systolic pressure resulted in an area under curve (AUC) of 0.82 and accuracy of 80% for survival. After rewarming, a score based on admission rhythm, sum of 12 lead QRS voltages, and mean lateral ST segment level in leads I and V6 resulted in an AUC of 0.88 and accuracy of 85% for survival. ECG can assist with early prognostication in unconscious survivors of OHCA during MIH and after rewarming.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Coma
/
Electrocardiografía
/
Paro Cardíaco Extrahospitalario
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Female
/
Humans
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Male
País/Región como asunto:
Europa
Idioma:
En
Año:
2015
Tipo del documento:
Article