PMID- 933409 OWN - NLM STAT- MEDLINE DCOM- 19760823 LR - 20191028 IS - 0361-1124 (Print) IS - 0361-1124 (Linking) VI - 5 IP - 6 DP - 1976 Jun TI - Sudden cardiac death: a retrospective and prospective study. PG - 429-33 AB - Since the inception of mobile coronary care units (MCCU), patients with sudden cardiac death (SCD) saved by advanced emergency medical technicians (EMT-A) can be studied retrospectively and prospectively. Forty-eight cases of SCD found in ventricular fibrillation (VF) were successfully resuscitated. Only 32% had a myocardial infarction. Most survivors were New York Heart Association (NYHA) class I or II. All class IV survivors with severe congestive heart failure died within 45 days. All class II survivors had angina as the limiting factor. Of all patients with VF, 23% survived. Eighty percent of survivors were class I or II and have resumed previous lifestyles. No clear cut symptom complex was identified. Rescue response time was generally less than five minutes. Intracardiac medications were administered without complications. Empirical administration of sodium bicarbonate correlated poorly with arterial blood gas determinations. FAU - Amey, B D AU - Amey BD FAU - Harrison, E E AU - Harrison EE FAU - Straub, E J AU - Straub EJ LA - eng PT - Journal Article PL - United States TA - JACEP JT - JACEP JID - 0317011 RN - 0 (Bicarbonates) RN - SY7Q814VUP (Calcium) RN - YKH834O4BH (Epinephrine) SB - IM MH - Administration, Topical MH - Bicarbonates/administration & dosage MH - Calcium/administration & dosage MH - Death, Sudden MH - Epinephrine/administration & dosage MH - Florida MH - Heart Arrest/etiology/mortality/*therapy MH - Heart Failure/complications MH - Humans MH - Middle Aged MH - Mobile Health Units MH - Myocardial Infarction/complications MH - Prognosis MH - Prospective Studies MH - *Resuscitation MH - Retrospective Studies MH - Time Factors MH - Ventricular Fibrillation/complications EDAT- 1976/06/01 00:00 MHDA- 1976/06/01 00:01 CRDT- 1976/06/01 00:00 PHST- 1976/06/01 00:00 [pubmed] PHST- 1976/06/01 00:01 [medline] PHST- 1976/06/01 00:00 [entrez] AID - S0361-1124(76)80251-1 [pii] AID - 10.1016/s0361-1124(76)80251-1 [doi] PST - ppublish SO - JACEP. 1976 Jun;5(6):429-33. doi: 10.1016/s0361-1124(76)80251-1.