Ischemic heart disease diagnosed before sudden cardiac arrest is independently associated with improved survival

Eric Stecker, Carmen Teodorescu, Kyndaron Reinier, Audrey Uy-Evanado, Ronald Mariani, Harpriya Chugh, Karen Gunson, Jonathan Jui, Sumeet S. Chugh

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background-Sudden cardiac arrest (SCA) is a significant public health problem, and rates of survival after resuscitation remain well below 10%. While several resuscitation-related factors are consistently associated with survival from SCA, the impact of specific comorbid conditions has not been assessed. Methods and Results-The Oregon Sudden Unexpected Study is an ongoing, multisource, community-based study in Portland, Oregon. Patients with SCA who underwent attempted resuscitation between 2002 and 2012 were included in this analysis if there were both arrest and prearrest medical records available. Information from the emergency medical services system, medical examiner, public health division, hospitals, and clinics was used to adjudicate SCA, evaluate comorbidities, and identify medical treatments. Univariate and multivariate analyses were performed to investigate the influence of prearrest comorbidities on survival to hospital discharge. Among 1466 included patients, established resuscitation-related predictors (Utstein factors) were associated with survival, consistent with prior reports. When a panel of prearrest comorbidities was evaluated along with Utstein factors, recognized coronary artery disease was significantly associated and predicted higher odds of survival (unadjusted odds ratio 1.5, P

Original languageEnglish (US)
Article numbere001160
JournalJournal of the American Heart Association
Volume3
Issue number5
StatePublished - 2014

Fingerprint

Sudden Cardiac Death
Resuscitation
Myocardial Ischemia
Comorbidity
Survival
Public Health
Coroners and Medical Examiners
Emergency Medical Services
Medical Records
Coronary Artery Disease
Multivariate Analysis
Survival Rate
Odds Ratio
Therapeutics

Keywords

  • Atherosclerosis
  • Heart arrest
  • Myocardial infarction
  • Sudden death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Stecker, E., Teodorescu, C., Reinier, K., Uy-Evanado, A., Mariani, R., Chugh, H., ... Chugh, S. S. (2014). Ischemic heart disease diagnosed before sudden cardiac arrest is independently associated with improved survival. Journal of the American Heart Association, 3(5), [e001160].

Ischemic heart disease diagnosed before sudden cardiac arrest is independently associated with improved survival. / Stecker, Eric; Teodorescu, Carmen; Reinier, Kyndaron; Uy-Evanado, Audrey; Mariani, Ronald; Chugh, Harpriya; Gunson, Karen; Jui, Jonathan; Chugh, Sumeet S.

In: Journal of the American Heart Association, Vol. 3, No. 5, e001160, 2014.

Research output: Contribution to journalArticle

Stecker, E, Teodorescu, C, Reinier, K, Uy-Evanado, A, Mariani, R, Chugh, H, Gunson, K, Jui, J & Chugh, SS 2014, 'Ischemic heart disease diagnosed before sudden cardiac arrest is independently associated with improved survival', Journal of the American Heart Association, vol. 3, no. 5, e001160.
Stecker, Eric ; Teodorescu, Carmen ; Reinier, Kyndaron ; Uy-Evanado, Audrey ; Mariani, Ronald ; Chugh, Harpriya ; Gunson, Karen ; Jui, Jonathan ; Chugh, Sumeet S. / Ischemic heart disease diagnosed before sudden cardiac arrest is independently associated with improved survival. In: Journal of the American Heart Association. 2014 ; Vol. 3, No. 5.
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