ArticleJournal of the American College of Cardiology2021
Factors Predisposing to Survival After Resuscitation for Sudden Cardiac Arrest.
Article in Journal of the American College of Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Cardiometabolic multimorbidity and survival after out-of-hospital cardiac arrest.Resuscitation plus · 2026Article
- Wolf Creek XVIII Part 4: innovations in ECPR technology.Resuscitation plus · 2026Article
- Epidemiology of sudden cardiac arrest in the western Mediterranean area based on a prospective registry.BMJ global health · 2025Article
- Countywide burden, pathology, and genetics of lethal hypertrophic cardiomyopathy: from the POST SCD study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
- Underlying Cause of Out-of-Hospital Cardiac Arrests in Japan in Survivors Versus Nonsurvivors.Journal of the American Heart Association · 2025Article
- Right atrium area is associated with survival after out-of-hospital cardiac arrest: a single-center cohort study.Echo research and practice · 2025Article
- Review
- Heritable Burden of Community Sudden Death by Autopsy and Molecular Phenotyping for Precision Genotype Correlation.JACC. Clinical electrophysiology · 2025Article
- Spatial and Temporal Boundaries of Remote Areas in the Initial Management of Out-of-Hospital Cardiac Arrest.Cureus · 2025Article
- Temporal elevation of blood pressure is associated with increased risk of sudden cardiac arrest.Scientific reports · 2024Article
- Exercises in Clinical Reasoning: Beyond the Surface.Journal of general internal medicine · 2023Article
- Long-term increase in fasting blood glucose is associated with increased risk of sudden cardiac arrest.Cardiovascular diabetology · 2023Article
- Racial Disparities in Ion Channelopathies and Inherited Cardiovascular Diseases Associated With Sudden Cardiac Death.Journal of the American Heart Association · 2022Review
- A Review of the Commercially Available ECG Detection and Transmission Systems-The Fuzzy Logic Approach in the Prevention of Sudden Cardiac Arrest.Micromachines · 2021Review
- Sudden Cardiac Death and Myocardial Fibrosis, Determined by Autopsy, in Persons with HIV.The New England journal of medicine · 2021Article
- Sudden death in the emergency department: A comprehensive 8-year study integrating clinical and autopsy data.Turkish journal of emergency medicineArticle
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6 authors.
Funding
Abstract
backgroundIn the POST SCD study, the authors autopsied all World Health Organization (WHO)-defined sudden cardiac deaths (SCDs) and found that only 56% had an arrhythmic cause; resuscitated sudden cardiac arrests (SCAs) were excluded because they did not die suddenly. They hypothesized that causes underlying resuscitated SCAs would be similarly heterogeneous.
objectivesThe aim of this study was to determine the causes and outcomes of resuscitated SCAs.
methodsThe authors identified all out-of-hospital cardiac arrests (OHCAs) from February 1, 2011, to January 1, 2015, of patients aged 18 to 90 years in San Francisco County. Resuscitated SCAs were OHCAs surviving to hospitalization and meeting WHO criteria for suddenness. Underlying cause was determined by comprehensive record review.
resultsThe authors identified 734 OHCAs over 48 months; 239 met SCA criteria, 133 (55.6%) were resuscitated to hospitalization, and 47 (19.7%) survived to discharge. Arrhythmic causes accounted for significantly more resuscitated SCAs overall (92 of 133, 69.1%), particularly among survivors (43 of 47, 91.5%), than WHO-defined SCDs in POST SCD (293 of 525, 55.8%; p < 0.004 for both). Among resuscitated SCAs, arrhythmic cause, ventricular tachycardia/fibrillation initial rhythm, and white race were independent predictors of survival. None of the resuscitated SCAs due to neurologic causes survived.
conclusionsIn this 4-year countywide study of OHCAs, only one-third were sudden, of which one-half were resuscitated to hospitalization and 1 in 5 survived to discharge. Arrhythmic cause predicted survival and nearly one-half of nonsurvivors had nonarrhythmic causes, suggesting that SCA survivors are not equivalent to SCDs. Early identification of nonarrhythmic SCAs, such as neurologic emergencies, may be a target to improve OHCA survival.
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