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European Heart Journal 1988 9(1):17-23;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Clinical characteristics and survival experience of out-of-hospital cardiac arrest victims without coronary heart disease

H. S. ROSMAN, S. GOLDSTEIN, J. R. LANDIS, R. LEIGHTON, G. RITTER, C. M. VASU, R. A. WOLFE, A. ACHESON and S. BRUG VANDER MEDENDORP

Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital Detroit Michigan 48202,U. S. A. Department of Biostatistics, university of Michigan, Ann Arbor Michigan 48109, U. S. A.

Received 19 September 1986; revised 30 June 1987; .

address for correspondence: Howard S. Rosman, MD, Henry Ford Hospital Division of Cardiovascular Medicine, 2799 W. Grand Boulevard, Detroit, Michigan 48202, U.S.A.

Abstract

Of 270 patients successfully resuscitated from out-of-hospital cardiac arrest, 16% had no evidence of coronary heart disease. In these 43 patients, other forms of heart disease were found in 81% (35/43): cardiomyopathy in 18 patients, valvular disease in six, congenital heart disease in two, and primary arrhythmia in nine. Seven patients had evidence of only pulmonary disease and one had pancreatitis as his precipitating event. Nineteen of the 43 patients (44%) had serum potassium less than 3.6 m Eql-s in the initial blood sample after cardiac arrest. One- and two-year mortalities were 30% and 43%, respectively, for the group, which is similar to one year (20%) and two-year (35%) mortalities of the 227 resuscitated patients with coronary heart disease. Patients who survive a sudden death experience and who have no evidence of coronary artery disease are a unique but heterogeneous group who usually have identifiable cardiac or pulmonary disease.

Key Words: Sudded death • cardiac arrest • resuscitation


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