Abstract：
BACKGROUND:Immediate initiation of cardiopulmonary resuscitation (CPR) increases chances of restoring spontaneous circulation and survival after out‑of‑hospital cardiac arrest (OHCA). For some refractory cases, extended cardiopulmonary resuscitation (ECPR) may be a promising option. AIMS:The aim of the study was to estimate the possibility of implementation of ECPR procedure to improve current early outcomes of patients after OHCA. METHODS:The medicalcharts of the Province Emergency Station in Poznań from a 12‑month periodwere assessed retrospectively. All OHCA cases were identified and the following potential inclusion criteria for ECPR were analyzed: initial defibrillation rhythm, age between 18 and 65 years, CPR conducted by bystanders, and time to hospital arrival less than 40 minutes. RESULTS:In 576 (46.7%) of 1233 identified OHCA cases, CPR wasinitiated by bystanders and automated external defibrillatorwas applied only 17 times. An initial defibrillation rhythm was noted in 138 individuals (11.2%). Out of 65 patients who met the ECPR age criterion, 55 underwent CPR by bystanders which lead to a no‑flow time that did not exceed 10 minutes. The additional 9 of them would be excluded due to time to hospital arrival. This means that ECPR would be applicable in 46 patients after OHCA. CONCLUSIONS:Our analysis showed that in some patients after sudden cardiac arrest, it would have been possible to implement ECPR as a crucial part of the Regional Out-of-Hospital Cardiac Arrest (OHCA) Program, and in consequence, probably to improve early outcomes of patients with refractory and potentially reversible cardiac arrest.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Sip M,Puślecki M,Kłosiewicz T,Zalewski R,Dąbrowski M,Ligowski M,Goszczyńska E,Paprocki C,Grygier M,Lesiak M,Jemielity M,Perek Bdoi
10.33963/KP.15433subject
Has Abstractpub_date
2020-09-25 00:00:00pages
875-881issue
9eissn
0022-9032issn
1897-4279journal_volume
78pub_type
杂志文章abstract：BACKGROUND:Out‑of‑hospital cardiac arrest (OHCA) is a severe medical condition. Prehospital care plays an essential role in patient survival. AIMS:First, the study aimed to evaluate cases of OHCA managed by cardiopulmonary resuscitation (CPR) attempts in Poland in 2018, including their frequency and patient outcomes i...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15241
更新日期：2020-05-25 00:00:00
abstract：BACKGROUND:Patients suffering from cardiogenic shock, with no response to conventional therapy, may significantly improve when put on support devices such as extracorporeal membrane oxygenation (ECMO), which maintains systemic and pulmonary circulation, and decongests the heart. This publication presents authors' own e...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2016.0087
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Hypertension is more common after menopause. Increased incidence of hypertension can be attributed to autonomic nervous system dysfunction. The relationship between the parameters of heart rate variability (HRV), the levels of norepinephrine (NE) and leptin, and the menopausal status is still poorly understo...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-03-01 00:00:00
abstract：:Tako-tsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is a temporary left ventricular dysfunction characterised by acute retrosternal rest pain, ST - segment elevation, slight elevation of cardiac necrosis markers, preferential apical akinesia or hypokinesia with basal hypercontractility in echocardi...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:Of adult patients of the Cardiac Defects Clinic, National Institute of Cardiology (in Warsaw) we can distinguish several groups of patients with congenital heart defects among which those who were diagnosed after the age of 18 or those who despite of early and correct diagnosis, not underwent surgery on the childhood ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:The coronavirus disease 2019 (COVID-19) pandemic affects anticoagulation not only in those infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) but also in most patients who require daily anticoagulant therapy and are facing substantial limitations in medical care these days. Concomitant venous t...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.33963/KP.15425
更新日期：2020-06-25 00:00:00
abstract：:In 3 post-MI patients with multiple premature ventricular complexes, programmed transoesophageal pacing generated the arrhythmia and an ecg tracing was taken. Analysis of the ecg suggested that simultaneous activation of two pathways within the A-V node maybe the cause of the arrhythmia. The activation signal reaches ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:Atherothrombotic diseases (ATEs) and venous thromboembolism (VTE) have been traditionally considered to have a distinct pathogenesis. Today, a growing body of evidence on the pathophysiology of thrombus formation has convincingly proved that they share more mutual risk factors than previously recognized. It has been s...
journal_title：Kardiologia polska
pub_type： 杂志文章,评审
doi：10.33963/KP.14804
更新日期：2019-04-18 00:00:00
abstract：BACKGROUND:Heat shock protein (Hsp) 27 expression in cardiomyocytes increases in response to ischaemia. The extracellular release of Hsp27 from cardiomyocytes is proportional to its intracellular levels. AIM:To assess the influence of significant coronary artery disease (CAD), which by definition results in chronic my...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：BACKGROUND:Dual antiplatelet therapy reduces the risk of thrombotic complications after primary percutaneous coronary intervention (PCI). AIM:To assess whether inhibition of platelet function attenuates microvascular damage in patients with ST-segment elevation myocardial infarction (STEMI). METHODS:We studied 83 STE...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:The prevalence of hypertension and lipid disorders is increased in patients with diabetes. The relationship between cholesterol and blood pressure values has not yet been well established in this group of patients. AIM:To assess the correlation between lipid levels and blood pressure values in patients with...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2006-12-01 00:00:00
abstract：:BACKGROUND A myocardial bridge (MB) is defined as a congenital anomaly, in which a segment of an epicardial coronary artery takes an intramuscular course. AIMS The aim of the study was to evaluate the prevalence of MB in coronary arteries among patients who were diagnosed using coronary angiography. METHODS Data were ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2019.0041
更新日期：2018-12-20 00:00:00
abstract：BACKGROUND:Late gadolinium enhancement (LGE) on cardiac magnetic resonance imaging (CMR) has been shown to be associated with ventricular arrhythmias, however, its prognostic role in predicting sudden cardiac death has not yet been established. AIM:To explore a potential relationship between LGE visualised by CMR and ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-08-01 00:00:00
abstract：:Immunological response against myocardial antigens was assessed in 12 patients (pts) (9 males, 3 females, aged 24-62 years) with aortic homografts (AH) and 36 pts (29 males, 7 females, aged 26-61 years) with aortic valve prostheses (AVP). In all pts a titre of anti-myocardial antibodies, a concentration of free-circul...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:The ACC/AHA guidelines for management of patients with ST-elevation myocardial infarction (STEMI) have recommended primary PCI (pPCI) as the preferred reperfusion therapy, when it can be performed in a timely fashion, within 90-110 min from the first contact with medical personnel. The impact of treatment de...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Since flow-mediated dilatation (FMD) is influenced by different factors, its clinical usefulness and validation is widely discussed. AIM:To assess the major factors that determine FMD values in a wide range of subjects with and without cardiovascular (CV) risk factors/diseases (CVRF/CVD). METHODS AND RESUL...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2013.0316
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Statins have anti-inflammatory and anti-platelet effects, which are known as non-lipid effects. Statin treatment can decrease endogenous inflammatory response. AIM:To study the effects of atorvastatin on matrix metalloproteinase-9 (MMP-9) and high sensitive C-reactive protein (hs-CRP) - markers of the prote...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2004-05-01 00:00:00
abstract：:Familial hereditary ventricular hypertrophy (HCM) is classified as a genetically determined disease (autosomal dominant trait) characterized by generalized ventricular hypertrophy, specific heart sounds and echocardiography images, characteristic ECG changes. Sudden death occurs in some cases. Clinical data and labora...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：BACKGROUND:Anthracycline affects various cell lines, which may contribute to left ventricular (LV) dysfunction and vascular remodelling. AIM:To assess the complex influence of anthracycline chemotherapy on the echocardiographic parameters of LV systolic and diastolic function and indices of vascular function and struc...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.2013.0154
更新日期：2013-01-01 00:00:00
abstract：:Different types of disorders, varying in time, concerning atrio-ventricular (AV) conductivity may occur during myocardial infarction (MI). Similarly, angiography may reveal the dynamics within lesions of thrombosis in arteries. A case of 58 year-old man, who suffered from temporal AV block of all degrees, and what is ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：BACKGROUND:Kawasaki disease is the most common cause of acquired heart disease in children in developed countries. The incidence of Kawasaki disease varies from 180 in Japan through 20 in United States to 5-8 in the European countries per 100,000 children younger than 5 years of age. AIM:To evaluate cardiac complicati...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.a2015.0136
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Progress in non-invasive diagnostic techniques such as ultrasonography, computerised tomography or magnetic resonance caused a significant decrease in the use of diagnostic myocardial biopsy (DMB). However, recent advances in molecular biology and widening knowledge about the role of new biochemical markers ...
journal_title：Kardiologia polska
pub_type： 历史文章,杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:Many researchers have studied age- and sex-related differences in the management of patients with coronary artery disease. However, the results are inconsistent. AIM:To assess sex- and age-related bias in the secondary prevention in patients hospitalised due to ischaemic heart disease. METHODS:Five hospita...
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pub_type： 杂志文章
doi：10.5603/KP.a2013.0148
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Patent foramen ovale (PFO) is a potential risk factor for ischaemic stroke in young individuals. An interventional method of secondary stroke prevention in PFO patients is its percutaneous closure. AIM:To assess safety and effectiveness (i.e. lack of residual shunt) of percutaneous PFO closure in patients w...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Multiple health and economic consequences related to obesity cause it to be regarded as a problem of social significance; body mass control has become a crucial element in the process of diabetes treatment. AIM:This paper shows factors differentiating body mass values in diabetes patients. METHODS:The rese...
journal_title：Kardiologia polska
pub_type： 杂志文章,随机对照试验
doi：10.5603/KP.2013.0096
更新日期：2013-01-01 00:00:00
abstract：:Isolated critical stenosis of left main coronary artery (LMCA) due to atherosclerosis is very rare and affects about 0.2% of patients. We present the case of a 39-year-old, non-smoker women with risk factors for diseases of the cardiovascular system in the form of hypercholesterolaemia and hypertension, in addition to...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：10.5603/KP.2013.0164
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Contrast-induced nephropathy is a relatively common complication occurring after various procedures requiring contrast agent injection, especially in patients with pre-existing renal failure. AIM:This pilot study was designed to assess the effects of a high intravenous dose of N-acetylcysteine (NAC) on plas...
journal_title：Kardiologia polska
pub_type： 临床试验,杂志文章
doi：
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:Cardiac rehabilitation (CR) is an important element of heart failure (HF) treatment although the mechanisms of its beneficial effects remain debatable. AIM:To evaluate the haemodynamic effects of CR measured by impedance cardiography in patients with HF. METHODS:Study group included 50 HF patients (aged 56...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:A case of a 53 year old female with olanzapine-induced QT interval prolongation and ventricular fibrillation is described. The relationship between neuroleptic drugs and the risk of sudden cardiac death is discussed. ...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:A case of a 65 year old male with acute myocardial infarction treated with primary angioplasty and stent implantation is presented. Following infarction, the patient suffered twice from the in-stent thrombosis in spite of triple antiplatelet/anticoagulant therapy. The problem of recurrent restenosis in spite of optima...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
