Official websites use. Share sensitive information only on official, secure websites. Introduction Pulmonary embolism PE is a relatively common cardiovascular condition, occasionally and tragically manifesting as sudden cardiac arrest SCA.
Guidelines suggest the consideration of thrombolytic therapy when PE-related SCA is suspected, despite the absence of evidence. In this study, we described the characteristics and management of PE-related SCA in a large regional registry. Patients and methods In this prospective population-based study, we included all patients admitted at hospital alive after out-of-hospital SCA, in Paris and suburbs, France 6. Regarding PE, we collected risk factors, clinical decision rules Wells rule and Geneva score and diagnostic strategy.
After adjustment, PE was associated with survival at discharge OR 2. Conclusion In this population-based study, PE was not an unusual cause of SCA, and was associated with better survival, challenging the traditional view. Thrombolysis was associated with an increased survival in this population, reinforcing current guidelines.
Patients suffering from irreversible brain damages after cardiac arrest are commonly considered candidates for DCDMIII, but little is known regarding the proportion of these patients who could be eligible for this procedure. Using a cohort of post-cardiac arrest patients, our aim was to assess the rate of contra-indications for DCDMIII and to measure the delay between withdrawal of life sustaining treatments LSTW and the appearance of low values for common physiological parameters during the agonal phase, which may compromise the process by altering graft function.
Patients and methods Using the Cochin registry Paris, France , we conducted a retrospective single-centre study from January to December We also collected hemodynamic and respiratory parameters during the agonal phase. Even in those without contra-indication, the delay between LSTW implementation and the final circulatory arrest was not compatible with French national guidelines.
