Coronary angiography characteristics of out-of-hospital sudden cardiac arrest occurring in sport-related acute myocardial infarction - 25/12/18
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Résumé |
Background |
Although out-of-hospital sudden cardiac arrest (OHSCA) frequently occurs in sport-related acute myocardial infarction (AMI), contemporary clinical and coronary angiography (CA) findings remains poorly described.
Purpose |
In a large retrospective study at a French regional scale, we aimed to investigate clinical and CA characteristics of patients who experienced OHSCA in sport-related AMI.
Methods |
From the RICO database, a French regional AMI survey, we retrospectively analysed the consecutive patients admitted in cardiology intensive care unit of a single university hospital from January 2011 to January 2018 for sport-related AMI and who underwent CA (n=100). Data from patients with OHSCA (OHSCA+) were compared with patients without OHSCA (OHSCA-).
Results |
Among the study population, 20% had OHSCA. Main characteristics are presented in Table 1 (Median (IQR) or %).
Conclusions |
AMI patients with OHSCA were 6 y older, and were characterized by a higher rate of culprit lesion involving LAD, and had much poorer hospital outcome. CAD extent and proximal distribution of lesions showed a trend toward a more severe profile. Larger studies are needed to confirm our findings.
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Vol 11 - N° 1
P. 113-114 - janvier 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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