Epidemiology of in-hospital cardiac arrest complicating non–ST-segment elevation myocardial infarction receiving early coronary angiography

In the period between 2000 and 2014, 584,704 admissions with non-ST-segment elevation myocardial infarction that received early coronary angiography (day zero) were identified from the National Inpatient Sample. In-hospital cardiac arrest was noted in 4349 (0.8%), of which ~47% were from ventricular...

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Bibliographic Details
Published in:The American heart journal 2020-05, Vol.223, p.59-64
Main Authors: Vallabhajosyula, Saraschandra, Vallabhajosyula, Saarwaani, Burstein, Barry, Ternus, Bradley W, Sundaragiri, Pranathi R, White, Roger D, Barsness, Gregory W, Jentzer, Jacob C
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Age
Angiography
Cardiac arrhythmia
Comorbidity
Confidence intervals
Demographics
Epidemiology
Heart
Heart attacks
Medical imaging
Morbidity
Mortality
Myocardial infarction
Patients
Population
Regression analysis
Socioeconomic factors
Trends
Ventricle
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Summary:In the period between 2000 and 2014, 584,704 admissions with non-ST-segment elevation myocardial infarction that received early coronary angiography (day zero) were identified from the National Inpatient Sample. In-hospital cardiac arrest was noted in 4349 (0.8%), of which ~47% were from ventricular arrhythmias and ~90% of occurred within ≤4 days. Non-ST-segment elevation myocardial infarction admissions with in-hospital cardiac arrest had higher in-hospital mortality compared to those without (61% vs. 1.6%) with an unchanged temporal trend of in-hospital cardiac arrest rates (adjusted odds ratio 1.29 [95% confidence interval 0.73-2.28]) in 2014 compared to 2000).
ISSN:0002-8703
1097-6744
DOI:10.1016/j.ahj.2020.01.016