title: [Cardiac arrest outside the hospital].
abstract: Out-of-hospital cardiac arrest remains a clinical problem with a survival rate of less than 5%. Prompt initiation of cardiopulmonary resuscitation and rapid delivery of advanced cardiac-life procedures are required. Combined in-hospital management by experienced cardiologists and intensive care specialists is recommended. Acute coronary-artery occlusion is frequent and poorly predicted by clinical and electrocardiographic findings. Accurate diagnosis by immediate coronary angiography can be followed if necessary by coronary angioplasty. Survivors undergo extensive work-up to determine the indications of an implantable defibrillator or coronary revascularization.
authors.affiliation: Service des maladies cardiovasculaires Hôpital Cochin, Paris.
authors.forename: C
authors.initials: C
authors.lastname: Spaulding
authors.forename: A
authors.initials: A
authors.lastname: Rozenberg
authors.forename: I
authors.initials: I
authors.lastname: Laurent
mesh_terms: D017130:Angioplasty; D016887:Cardiopulmonary Resuscitation; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D004632:Emergency Medical Services; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008020:Life Support Care