On the 17th of July, 1945, a Swede named Gunder Hägg set the record for the mile run.
His time of 4 minutes, 1.4 seconds lasted for an astounding nine years – leading many
experts at the time to conclude that there was an absolute limit to the human body
and that a 4-minute mile was impossible. A similar plateau has been observed in outcomes
of cardiac arrest outside of the hospital, with no significant gains in survival to
discharge from 1970 to 2001 and only marginal risk-adjusted gains from 2005 to 2012.
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It is largely unknown whether the track record is any better for in-hospital cardiac
arrests in patients presenting with ST elevation myocardial infarction (STEMI), which
has seen considerable changes in management over the last two decades.To read this article in full you will need to make a payment
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References
- Temporal trends in sudden cardiac arrest: a 25-year emergency medical services perspective.Circulation. 2003; 107: 2780
- CARES Surveillance Group. Recent trends in survival from out-of-hospital cardiac arrest in the United States.Circulation. 2014; 130: 1876
Bhat AG, et al. In-hospital cardiac arrest complicating ST-elevation myocardial infarction: Temporal trends and outcomes based on management strategy.
- Impact of timing of cardiac arrest during hospitalization on survival outcomes and subsequent length of stay.Resuscitation. 2017; 121: 117-122
- Risk factors for sudden cardiac arrest in patients with ST-segment elevation myocardial infarction: a retrospective cohort study.BMC Emerg Med. 2022; 169
- Risk factors for in-hospital cardiac arrest in patients with ST-segment elevation myocardial infarction.J Am Coll Cardiol. 2022; 80: 1788-1798
- Early vs. delayed in-hospital cardiac arrest complicating ST-elevation myocardial infarction receiving primary percutaneous coronary intervention.Resuscitation. 2020; 148: 242-250
- Survival and neurologic recovery in patients with ST-segment elevation myocardial infarction resuscitated from cardiac arrest.JACC. 2009; 53: 409-415
Article info
Publication history
Published online: March 15, 2023
Accepted:
March 7,
2023
Received:
March 4,
2023
Identification
Copyright
© 2023 Elsevier B.V. All rights reserved.
