Resuscitation
Volume 60, Issue 2 , Pages 143-150 , February 2004

Non-traumatic aortic dissection or rupture as cause of cardiac arrest: presentation and outcome

  • Giora Meron

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • ,
  • Istepan Kürkciyan

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • ,
  • Fritz Sterz

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • ,
  • Karin Tobler

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • ,
  • Heidrun Losert

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • ,
  • Roland Sedivy

      Affiliations

    • Institute of Clinical Pathology, General Hospital of Vienna, University of Vienna, Vienna, Austria
    • ,
  • Anton N Laggner

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • ,
  • Hans Domanovits

      Affiliations

    • Department of Emergency Medicine, Universitätsklinik für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien, Währinger Gürtel 18-20/6D, AKH Wien, Vienna 1090, Austria
    • Corresponding Author InformationCorresponding author. Tel.: +43-1-40400-1964; fax: +43-1-40400-1965.

Received 2 April 2003 ,Revised 7 October 2003 ,Accepted 23 October 2003.

References 

  1. Silfvast T. Cause of death in unsuccessful prehospital resuscitation. J. Int. Med. 1991;229:331–335
  2. Kuisma M, Alaspää A. Out-of-hospital cardiac arrests of non-cardiac origin. Eur. Heart J. 1997;18:1122–1128
  3. Berzlanovich A, Muhm M, Bauer G. Fatal spontaneous (non-traumatic) rupture of aortic aneurysms—an autopsy study. In: Weimann S, editor. Proceedings of the International Congress on Thoracic and thoracoabdominal aortic aneurysm, Innsbruck, Austria, June 12–14, 1994. Bologna: Monduzzzi Editore, 1994.
  4. Ingoldby CJ, Wujanto R, Mitchell JE. Impact of vascular surgery on community mortality from ruptured aortic aneurysms. Br J. Surg. 1986;73:551–553
  5. Kürkciyan I, Meron G, Behringer W, Sterz F, Berzlanovich A, Domanovits H, et al.  Accuracy and impact of presumed cause in patients with cardiac arrest. Circulation. 1998;98:766–771
  6. McGregor JC. Unoperated ruptured abdominal aortic aneurysms: a retrospective clinicopathological study over a 10 years period. Br J. Surg. 1976;63:113–116
  7. Pryer JP. Diagnosis of ruptured aneurysm of abdominal aorta. BMJ. 1972;3:735–736
  8. Cummins RO, Chamberlain DA. Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation. 1991;84:960–975
  9. American Heart Association Standards and guidelines for cardiopulmonary resuscitation and emergency cardiac care. JAMA 1986;255:2841–3044.
  10. Emergency Cardiac Care Committee and Subcommittees, American Heart Association: Guidelines for cardiopulmonary resuscitation and emergency cardiac care. JAMA 1992;268:2171–302.
  11. Marston WA, Ahlquist R, Johnson G, Meyer AA. Misdiagnosis of ruptured abdominal aortic aneurysms. J. Vasc. Surg. 1992;16:17–22
  12. Kefer MP, Hargerten SW, Jentzen J. Death after discharge from the emergency department. Ann. Emerg. Med. 1994;24:1102–1107
  13. Kurkciyan I, Meron G, Sterz F, Janata K, Domanovits H, Holzer M, et al.  Pulmonary embolism as cause of cardiac arrest: presentation and outcome. Arch Int. Med. 2000;160:1529–1535
  14. Kurkciyan I, Meron G, Sterz F, Domanovits H, Tobler K, Laggner AN, et al.  Spontaneous subarachnoid hemorrhage as a cause of out-of-hospital cardiac arrest. Resuscitation. 2001;51:27–32
  15. LaRoy LL, Cormier PJ, Matalon TA, Patel SK, Turner DA, Silver B. Imaging of abdominal aortic aneurysms. AJR. 1989;152:785–792
  16. Kvilekval KHV, Best IM, Mason RA, Newton GB, Giron F. The value of computed tomography in the management of symptomatic abdominal aortic aneurysms. J. Vasc. Surg. 1990;12:28–33
  17. Lederer W, Lichtenberger C, Pechlaner C, Kroesen G, Baubin M. Recombinant tissue plasminogen activator during cardiopulmonary resuscitation in 108 patients with out-of-hospital cardiac arrest. Resuscitation. 2001;50:71–76
  18. Johansson G, Markstrom U, Swedenborg J. Ruptured thoracic aortic aneurysms: a study of incidence and mortality rates. J. Vasc. Surg. 1995;21:985–988
  19. Kurimoto Y, Morishita K, Narimatsu E, Asai Y, Abe T. Satisfactory recovery after 45 min of resuscitation in acute aortic dissection. Crit. Care Med. 2002;9:2030–2031
  20. Larzon T, Jansson H, Holmstrom B, Lund P, Norgren L, Arfvidsson B, et al.  Salvage of an acutely ruptured thoracic aortic aneurysm during CPR. J. Endovasc. Therapy. 2002;9(Suppl. 2):67–71

PII: S0300-9572(03)00377-0

doi: 10.1016/j.resuscitation.2003.10.005

Resuscitation
Volume 60, Issue 2 , Pages 143-150 , February 2004

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