PMID- 24856807 OWN - NLM STAT- MEDLINE DCOM- 20150207 LR - 20220331 IS - 1874-1754 (Electronic) IS - 0167-5273 (Linking) VI - 175 IP - 1 DP - 2014 Jul 15 TI - One-year clinical impact of cardiac arrest in patients with first onset acute ST-segment elevation myocardial infarction. PG - 147-53 LID - S0167-5273(14)00970-X [pii] LID - 10.1016/j.ijcard.2014.05.002 [doi] AB - BACKGROUND: Cardiac arrest complicating acute ST elevation myocardial infarction (STEMI) is known to be associated with increased in-hospital mortality. However, little is known about the long-term outcomes after cardiac arrest complicating first onset STEMI in contemporary percutaneous coronary intervention (PCI) era. METHODS: We analyzed 7942 consecutive patients who were diagnosed with STEMI and had no previous history of MI. They were divided into two groups according to the presence of cardiac arrest (group I, patients with cardiac arrest; n=481, group II, patients without cardiac arrest; n=7641). RESULTS: In a stepwise multivariate model, previous history of chronic kidney disease, high serum level of glucose and low high density lipoprotein-cholesterol was an independent predictor of cardiac arrest complicating STEMI. Group I had significantly higher in-hospital mortality (adjusted hazard ratio [HR] 3.06, 95% confidence interval [CI] 2.08-4.51, p<0.001) and 30-day mortality after hospital discharge (adjusted HR 2.92, 95% CI 1.86-4.58, log-rank p<0.001). However, there was no significant increase in mortality beyond 30 days (6-month, adjusted HR 1.46, 95% CI 0.45-4.77, log rank p=0.382; 1-year, adjusted HR 1.84, 95% CI 0.83-4.05, log-rank p=0.107). Also, there were no significant differences in 6-month and 1-year major adverse cardiac events in 30-day survivors. Performing PCI was associated with decreased 12-month mortality in 30-day survivors. CONCLUSIONS: Although patients with cardiac arrest complicating first onset STEMI had higher in-hospital and 30-day mortality after hospital discharge, cardiac arrest itself did not have any residual impact on mortality as well as clinical outcomes. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Lee, Ki Hong AU - Lee KH AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Jeong, Myung Ho AU - Jeong MH AD - Chonnam National University Hospital, Gwangju, South Korea. Electronic address: myungho@chollian.net. FAU - YoungkeunAhn AU - YoungkeunAhn AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Kim, Sung Soo AU - Kim SS AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Rhew, Shi Hyun AU - Rhew SH AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Jeong, Young Wook AU - Jeong YW AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Jang, Soo Young AU - Jang SY AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Cho, Jae Yeong AU - Cho JY AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Jeong, Hae Chang AU - Jeong HC AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Park, Keun-Ho AU - Park KH AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Yoon, Nam Sik AU - Yoon NS AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Sim, Doo Sun AU - Sim DS AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Yoon, Hyun Ju AU - Yoon HJ AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Kim, Kye Hun AU - Kim KH AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Hong, Young Joon AU - Hong YJ AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Park, Hyung Wook AU - Park HW AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Kim, Ju Han AU - Kim JH AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Cho, Jeong Gwan AU - Cho JG AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Park, Jong Chun AU - Park JC AD - Chonnam National University Hospital, Gwangju, South Korea. FAU - Cho, Myeong Chan AU - Cho MC AD - Chungbuk National University Hospital, Chungju, South Korea. FAU - Kim, Chong Jin AU - Kim CJ AD - East West Neo Medical Center, Seoul, South Korea. FAU - Kim, Young Jo AU - Kim YJ AD - Yeungnam University Hospital, Daegu, South Korea. CN - KAMIR (Korea Acute Myocardial Infarction Registry) Investigators LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140509 PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 SB - IM MH - Acute Disease MH - Aged MH - Female MH - Follow-Up Studies MH - Heart Arrest/*diagnosis/*mortality MH - Hospital Mortality/*trends MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnosis/*mortality MH - Prospective Studies MH - *Registries MH - Republic of Korea/epidemiology MH - Survival Rate/trends MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - Cardiac OT - Death OT - Heart arrest OT - Myocardial infarction OT - Sudden FIR - Jeong, Myung Ho IR - Jeong MH FIR - Kim, Young Jo IR - Kim YJ FIR - Kim, Chong Jin IR - Kim CJ FIR - Cho, Myeong Chan IR - Cho MC FIR - Ahn, Youngkeun IR - Ahn Y FIR - Kim, Jong Hyun IR - Kim JH FIR - Chae, Shung Chull IR - Chae SC FIR - Hur, Seung Ho IR - Hur SH FIR - Seong, Whan IR - Seong W FIR - Hong, Taek Jong IR - Hong TJ FIR - Choi, Dong Hoon IR - Choi DH FIR - Chae, Jei Keon IR - Chae JK FIR - Rhew, Jae Young IR - Rhew JY FIR - Kim, Doo Il IR - Kim DI FIR - Chae, Ho IR - Chae H FIR - Yoon, Jung Han IR - Yoon JH FIR - Koo, Bon Kwon IR - Koo BK FIR - Kim, Byung Ok IR - Kim BO FIR - Lee, Myoung Yong IR - Lee MY FIR - Kim, Kee Sik IR - Kim KS FIR - Hwang, Jin Yong IR - Hwang JY FIR - Kyu, Seok IR - Kyu S FIR - Lee, Nae Hee IR - Lee NH FIR - Jeong, Kyoung Tae IR - Jeong KT FIR - Tahk, Seung Jea IR - Tahk SJ FIR - Bae, Jang Ho IR - Bae JH FIR - Rha, Seung Woon IR - Rha SW FIR - Park, Keum Soo IR - Park KS FIR - Han, Kyoo Rok IR - Han KR FIR - Ahn, Tae Hoon IR - Ahn TH FIR - Kim, Moo Hyun IR - Kim MH FIR - Yang, Joo Young IR - Yang JY FIR - Rhim, Chong Yun IR - Rhim CY FIR - Gwon, Hyeon Cheol IR - Gwon HC FIR - Park, Seong Wook IR - Park SW FIR - Koh, Young Youp IR - Koh YY FIR - Joo, Seung Jae IR - Joo SJ FIR - Kim, Soo Joong IR - Kim SJ FIR - Jin, Dong Kyu IR - Jin DK FIR - Cho, Jin Man IR - Cho JM FIR - Chung, Wook Sung IR - Chung WS FIR - Jang, Yang Soo IR - Jang YS FIR - Cho, Jeong Gwan IR - Cho JG FIR - Seung, Ki Bae IR - Seung KB FIR - Park, Seung Jung IR - Park SJ EDAT- 2014/05/27 06:00 MHDA- 2015/02/11 06:00 CRDT- 2014/05/27 06:00 PHST- 2013/12/07 00:00 [received] PHST- 2014/04/22 00:00 [revised] PHST- 2014/05/05 00:00 [accepted] PHST- 2014/05/27 06:00 [entrez] PHST- 2014/05/27 06:00 [pubmed] PHST- 2015/02/11 06:00 [medline] AID - S0167-5273(14)00970-X [pii] AID - 10.1016/j.ijcard.2014.05.002 [doi] PST - ppublish SO - Int J Cardiol. 2014 Jul 15;175(1):147-53. doi: 10.1016/j.ijcard.2014.05.002. Epub 2014 May 9.