ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest

Marinos Kosmopoulos; Jason A. Bartos; Demetris Yannopoulos

doi:10.1016/j.iccl.2021.03.007

ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest

Marinos Kosmopoulos
, Jason A. Bartos
, Demetris Yannopoulos

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

5-10% of ST-elevated myocardial infarctions (STEMI) present with out-of-hospital cardiac arrest (OHCA). Although this subgroup of patients carries the highest in-hospital mortality among the STEMI population, it is the least likely to undergo coronary angiography and revascularization. Due to the concomitant neurologic injury, patients with OHCA STEMI require prolonged hospitalization and adjustments to standard MI management. This review systematically assesses the course of patients with OHCA STEMI from development of the arrest to hospital discharge, assesses the limiting factors for their treatment access, and presents the evidence-based optimal intervention strategy for this high-risk MI population.

Original language	English (US)
Pages (from-to)	359-368
Number of pages	10
Journal	Interventional Cardiology Clinics
Volume	10
Issue number	3
DOIs	https://doi.org/10.1016/j.iccl.2021.03.007
State	Published - Jul 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Acute coronary syndrome
Antiplatelet
Cardiac arrest
Hypothermia
ST-Elevation myocardial infarction

PubMed: MeSH publication types

Journal Article
Review

Publisher link

10.1016/j.iccl.2021.03.007

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title = "ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest",

abstract = "5-10\% of ST-elevated myocardial infarctions (STEMI) present with out-of-hospital cardiac arrest (OHCA). Although this subgroup of patients carries the highest in-hospital mortality among the STEMI population, it is the least likely to undergo coronary angiography and revascularization. Due to the concomitant neurologic injury, patients with OHCA STEMI require prolonged hospitalization and adjustments to standard MI management. This review systematically assesses the course of patients with OHCA STEMI from development of the arrest to hospital discharge, assesses the limiting factors for their treatment access, and presents the evidence-based optimal intervention strategy for this high-risk MI population.",

keywords = "Acute coronary syndrome, Antiplatelet, Cardiac arrest, Hypothermia, ST-Elevation myocardial infarction",

author = "Marinos Kosmopoulos and Bartos, \{Jason A.\} and Demetris Yannopoulos",

year = "2021",

month = jul,

doi = "10.1016/j.iccl.2021.03.007",

language = "English (US)",

volume = "10",

pages = "359--368",

journal = "Interventional Cardiology Clinics",

issn = "2211-7458",

publisher = "Elsevier Inc.",

number = "3",

}

TY - JOUR

T1 - ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest

AU - Kosmopoulos, Marinos

AU - Bartos, Jason A.

AU - Yannopoulos, Demetris

PY - 2021/7

Y1 - 2021/7

N2 - 5-10% of ST-elevated myocardial infarctions (STEMI) present with out-of-hospital cardiac arrest (OHCA). Although this subgroup of patients carries the highest in-hospital mortality among the STEMI population, it is the least likely to undergo coronary angiography and revascularization. Due to the concomitant neurologic injury, patients with OHCA STEMI require prolonged hospitalization and adjustments to standard MI management. This review systematically assesses the course of patients with OHCA STEMI from development of the arrest to hospital discharge, assesses the limiting factors for their treatment access, and presents the evidence-based optimal intervention strategy for this high-risk MI population.

AB - 5-10% of ST-elevated myocardial infarctions (STEMI) present with out-of-hospital cardiac arrest (OHCA). Although this subgroup of patients carries the highest in-hospital mortality among the STEMI population, it is the least likely to undergo coronary angiography and revascularization. Due to the concomitant neurologic injury, patients with OHCA STEMI require prolonged hospitalization and adjustments to standard MI management. This review systematically assesses the course of patients with OHCA STEMI from development of the arrest to hospital discharge, assesses the limiting factors for their treatment access, and presents the evidence-based optimal intervention strategy for this high-risk MI population.

KW - Acute coronary syndrome

KW - Antiplatelet

KW - Cardiac arrest

KW - Hypothermia

KW - ST-Elevation myocardial infarction

UR - https://www.scopus.com/pages/publications/85106637628

UR - https://www.scopus.com/pages/publications/85106637628#tab=citedBy

U2 - 10.1016/j.iccl.2021.03.007

DO - 10.1016/j.iccl.2021.03.007

M3 - Review article

C2 - 34053622

AN - SCOPUS:85106637628

SN - 2211-7458

VL - 10

SP - 359

EP - 368

JO - Interventional Cardiology Clinics

JF - Interventional Cardiology Clinics

IS - 3

ER -

ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest

Abstract

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Keywords

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