Abstract 23: Geriatric Experience Following Cardiac Arrest at 6 Interventional Cardiology Centers in the United States, 2007-2011

doi:https://doi.org/10.1161/circ.124.suppl_21.a23

Article10.1161/circ.124.suppl_21.a23

Abstract 23: Geriatric Experience Following Cardiac Arrest at 6 Interventional Cardiology Centers in the United States, 2007-2011

David B. Seder,Michael Mooney,Nainesh Patel,John McPherson,Paul McMullen,Karl B. Kern+6 more-2011-11-22-Circulation

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TL;DRAbstract

Background: It is unknown if aggressive techniques such as therapeutic hypothermia (TH) and percutaneous coronary intervention (PCI) benefit cardiac arrest (CA) survivors over 75 years old. We evaluated the experiences of these patients at six regional PCI centers in the United States. Methods: Demographics, hospital course, adverse events, treatments, and outcomes of 542 cardiac arrest survivors aged 18-75 were compared to 122 similar patients aged >76. These data were retrospectively and prospectively entered into a secure, web-based registry (INTCAR). Findings: Cardiac arrest survivors aged >75 frequently underwent TH (98%), urgent coronary angiography (36.9%), and urgent PCI (24%) - rates similar to younger patients. Elderly patients had more comorbidities (3.0 +1.6 vs. 2.1+1.6, P<0.001), worse presenting left ventricular ejection fraction, and shorter time to return of spontaneous circulation (20.4+13.1 vs. 24.2+16.9 minutes, P=0.029). Pneumonia occurred more often among

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Background: It is unknown if aggressive techniques such as therapeutic hypothermia (TH) and percutaneous coronary intervention (PCI) benefit cardiac arrest (CA) survivors over 75 years old. We evaluated the experiences of these patients at six regional PCI centers in the United States. Methods: Demographics, hospital course, adverse events, treatments, and outcomes of 542 cardiac arrest survivors aged 18-75 were compared to 122 similar patients aged >76. These data were retrospectively and prospectively entered into a secure, web-based registry (INTCAR). Findings: Cardiac arrest survivors aged >75 frequently underwent TH (98%), urgent coronary angiography (36.9%), and urgent PCI (24%) - rates similar to younger patients. Elderly patients had more comorbidities (3.0 +1.6 vs. 2.1+1.6, P<0.001), worse presenting left ventricular ejection fraction, and shorter time to return of spontaneous circulation (20.4+13.1 vs. 24.2+16.9 minutes, P=0.029). Pneumonia occurred more often among

Keywords

MedicineInterventional cardiologyCardiologyInternal medicineEmergency medicineIntensive care medicine

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