All | ROSC | NO ROSC | P-value | Survivors | Non- survivors | P-value | |
---|---|---|---|---|---|---|---|
(N = 35) | (N = 18 (51%)) | (N = 17 (49%)) | (N = 9 (26%)) | (N = 26 (74%)) | |||
Background data (N (%) or Median (25th - 75th quartile)) | |||||||
Gender (Females) | 6 (17%) | 3 (17%) | 3 (17%) | > 0.99 | 1 (3%) | 5 (19%) | > 0.99 |
Age (years) | 72 (61–78) | 71 (57–75) | 76 (62–78) | 0.306 | 74 (55–80) | 71 (63–78) | 0.806 |
AMI | 10 (29%) | 6 (33%) | 4 (24%) | 0.711 | 5 (56%) | 5 (19%) | 0.081 |
Angina pectoris | 3 (9%) | 3 (17%) | 0 (0%) | 0.229 | 0 (0%) | 3 (12%) | 0.553 |
Hypertension | 18 (51%) | 11 (61%) | 7 (41%) | 0.318 | 8 (89%) | 10 (39%) | 0.018 |
Diabetes | 7 (20%) | 3 (17%) | 4 (24%) | 0.691 | 3 (33%) | 4 (15%) | 0.340 |
Treated hypercholesterolemia | 6 (17%) | 3 (17%) | 3 (18%) | > 0.99 | 2 (22%) | 4 (15%) | 0.635 |
Stroke | 5 (14%) | 4 (22%) | 1 (6%) | 0.338 | 1 (11%) | 5 (19%) | > 0.99 |
Heart failure | 3 (9%) | 1 (6%) | 2 (12%) | 0.603 | 1 (11%) | 2 (8%) | > 0.99 |
Asthma | 2 (6%) | 0 (0%) | 2 (12%) | 0.229 | 0 (0%) | 2 (8%) | > 0.99 |
Renal disease | 2 (6%) | 1 (6%) | 1 (6%) | > 0.99 | 0 (0%) | 2 (8%) | > 0.99 |
Valvular disease | 2 (6%) | 0 (0%) | 2 (11%) | 0.299 | 0 (0%) | 2 (8%) | > 0.99 |
Cancer | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
Smoker | 7 (20%) | 4 (22%) | 3 (18%) | > 0.99 | 2 (22%) | 5 (19%) | > 0.99 |
X-Smoker | 9 (26%) | 5 (28%) | 4 (24%) | > 0.99 | 4 (44%) | 5 (19%) | 0.192 |
Reason to be admitted to the Cath-lab (N (%)) | |||||||
Planned Angiography | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
Planned PCI | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
N-STEMI | 4 (11%) | 3 (17%) | 1 (6%) | 0.603 | 2 (22%) | 2 (8%) | 0.268 |
STEMI (all) | 26 (74%) | 10 (56%) | 16 (94%) | 0.018 | 5 (55%) | 21 (81%) | 0.192 |
Inferior STEMI | 9 (26%) | 3 (17%) | 6 (35%) | 0.264 | 2 (22%) | 7 (27%) | > 0.99 |
Anterior STEMI | 16 (46%) | 6 (33%) | 10 (59%) | 0.181 | 3 (33%) | 13 (50%) | 0.460 |
Lateral STEMI | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
LBBB | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
Acute stent occlusion. | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
Tamponade | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
Heart failure | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 1 (11%) | 0 (0%) | > 0.99 |
Culprit lesion (N (%)) | |||||||
1 vessel | 26 (74%) | 12 (67%) | 14 (82%) | 0.433 | 5 (55%) | 22 (85%) | 0.162 |
2 vessels | 7 (20%) | 4 (22%) | 3 (18%) | > 0.99 | 4 (44%) | 3 (12%) | 0.055 |
Left Main | 12 (34%) | 5 (28%) | 7 (41%) | 0.489 | 3 (33%) | 9 (35%) | > 0.99 |
LAD | 12 (34%) | 6 (33%) | 6 (35%) | > 0.99 | 3 (33%) | 9 (35%) | > 0.99 |
M | 2 (6%) | 2 (11%) | 0 (0%) | 0.489 | 2 (22%) | 0 (0%) | 0.061 |
CX | 4 (11%) | 2 (11%) | 2 (12%) | > 0.99 | 1 (11%) | 3 (12%) | > 0.99 |
RCA | 7 (6%) | 1 (0%) | 6 (12%) | 0.229 | 1 (0%) | 6 (8%) | > 0.99 |
Post lateral | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
LIMA | 2 (6%) | 1 (6%) | 1 (6%) | > 0.99 | 1 (11%) | 1 (4%) | 0.454 |
Rhythm causing the arrest (N (%)) | |||||||
VF/VT | 7 (20%) | 4 (11%) | 3 (9%) | > 0.99 | 2 (6%) | 5 (14%) | > 0.99 |
PEA | 17 (49%) | 8 (23%) | 9 (26%) | 0.505 | 3 (9%) | 14 (40%) | 0.460 |
Asystole | 4 (11%) | 3 (9%) | 1 (3%) | 0.603 | 2 (6%) | 2 (6%) | 0.268 |
Bradycardia | 7 (20%) | 3 (9%) | 4 (11%) | 0.691 | 2 (6%) | 5 (14%) | 0.268 |
Drugs used during resuscitation efforts (N (%) or Median (25th - 75th quartile)) | |||||||
Epinephrine injection (1 mg) | 23 (66%) | 9 (50%) | 14 (82%) | 0.075 | 2 (22%) | 21 (81%) | 0.003 |
Dose of Epinephrine | 1 (0–3) | 0 (0–1) | 2 (2–5) | 0.004 | 0 (0–0.5) | 2 (1–4) | 0.008 |
Nor-Adrenaline | 24 (69%) | 11 (61%) | 13 (76%) | 0.471 | 4 (11%) | 20 (77%) | 0.103 |
Atropine | 11 (31%) | 2 (11%) | 9 (53%) | 0.012 | 3 (33%) | 8 (31%) | > 0.99 |
Amiodarone | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
Dobutamine | 11 (31%) | 6 (33%) | 5 (29%) | > 0.99 | 0 (0%) | 11 (42%) | 0.033 |
Levosimendan | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
Isoprenaline | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
Buffer | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
Adenosine | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
Anti-coagulants during PCI (N (%)) | |||||||
Bivalirudin | 19 (54%) | 9 (50%) | 10 (59%) | 0.738 | 5 (55%) | 14 (54%) | > 0.99 |
Klopidogrel | 18 (51%) | 10 (56%) | 8 (47%) | 0.740 | 5 (55%) | 13 (50%) | > 0.99 |
Prasugrel | 2 (6%) | 2 (11%) | 0 (0%) | 0.489 | 2 (22%) | 0 (0%) | 0.061 |
Heparin | 29 (83%) | 15 (83%) | 14 (82%) | > 0.99 | 8 (89%) | 21 (81%) | > 0.99 |
Abciximab | 3 (9%) | 2 (11%) | 1 (6%) | > 0.99 | 1 (11%) | 2 (8%) | > 0.99 |
ASA | 21 (60%) | 11 (61%) | 10 (56%) | 0.733 | 6 (67%) | 15 (58%) | 0.712 |
Eptifibatide | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
Fondaparinux | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 0 (0%) | 1 (4%) | > 0.99 |
Ticagrelor | 4 (11%) | 1 (6%) | 3 (18%) | 0.338 | 0 (0%) | 4 (15%) | 0.553 |
Warfarin | 3 (9%) | 2 (11%) | 1 (6%) | 0.658 | 1 (11%) | 2 (8%) | > 0.99 |
PCI results (TIMI flow) (N (%)) | |||||||
3 | 27 (77%) | 14 (78%) | 13 (72%) | > 0.99 | 7 (78%) | 20 (77%) | > 0.99 |
2 | 1 (3%) | 0 (0%) | 1 (6%) | 0.486 | 0 (0%) | 1 (4%) | > 0.99 |
0 | 4 (11%) | 1 (6%) | 3 (17%) | 0.338 | 1 (11%) | 0 (0%) | > 0.99 |
CPR data (N (%))Median (25th - 75th quartile) | |||||||
CPR prior to arrival | 13 (37%) | 4 (22%) | 9 (53%) | 0.086 | 0 (0%) | 13 (50%) | 0.001 |
CPR during angiography | 13 (37%) | 5 (28%) | 8 (47%) | 0.305 | 3 (33%) | 10 (38%) | > 0.99 |
CPR during PCI | 26 (74%) | 12 (67%) | 14 (78%) | 0.443 | 5 (55%) | 21 (81%) | 0.192 |
CPR time in the cath-lab | 35 (12–52) | 18 (10–41) | 50 (33–60) | 0.007 | 10 (8–25) | 45 (30–60) | 0.001 |
Post ROSC treatments (N (%) Median (25th - 75th quartile)) | |||||||
Cooling | 6 (17%) | 6 (33%) | 0 (0%) | 0.019 | 1 (11%) | 5 (19%) | > 0.99 |
Heartmate | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 1 (11%) | 0 (0%) | > 0.99 |
CABG | 3 (9%) | 3 (17%) | 0 (0%) | 0.229 | 1 (11%) | 2 (8%) | > 0.99 |
Pacing | 2 (6%) | 0 (0%) | 2 (12%) | 0.229 | 0 (0%) | 2 (8%) | > 0.99 |
IABP | 12 (34%) | 9 (50%) | 3 (17%) | 0.075 | 4 (44%) | 8 (31%) | 0.685 |
Heart transplantation | 1 (3%) | 1 (6%) | 0 (0%) | > 0.99 | 1 (11%) | 0 (0%) | > 0.99 |
Physiologic parameters during CA (Median (25th - 75th quartile)) | |||||||
Arterial Systolic (mmHg) | 85 (71–103) | 85 (80–96) | 84 (48–103)a | 0.593 | 86 (77–98) | 84 (70–103)h | 0.494 |
Arterial Early Diastolic (mmHg) | 24 (18–35) | 30 (22–40) | 19 (14–28)b | 0.012 | 34 (23–40) | 20 (14–30)i | 0.050 |
Arterial End Diastolic (mmHg) | 30 (21–44) | 40 (24–46) | 26 (18–29)c | 0.071 | 41 (30–43) | 27 (19–44)j | 0.121 |
Arterial Mean (mmHg) | 51 (41–58) | 53 (48–59) | 45 (32–58)d | 0.074 | 54 (50–58) | 46 (37–58)k | 0.270 |
SpO2 (mmHg) | 81 (74–86) | 81 (73–82) | 83 (74–89)e | 0.599 | 77 (76–81) | 82 (74–87)l | 0.549 |
ETCO2 (mmHg) | 21 (13–23) | 21 (16–26) | 21 (8–23)f | 0.415 | 21 (15–26) | 21 (13–23)m | 0.653 |
LSCOt (%) | 50 (44–56) | 44 (44–44) | 53 (45–57)g | NA | NA | 48 (44–56)n | NA |
RScot (%) | 55 (49–58) | 38 (38–38) | 58 (55–59) g | NA | NA | 52 (49–58) n | NA |
AScot (%) | 54 (48–57) | 41 (41–41) | 56 (54–57) g | NA | NA | 51 (48–57) n | NA |