title: Postresuscitation accelerated idioventricular rhythm: a potential prognostic factor for out-of-hospital cardiac arrest survivors.
abstract: OBJECTIVE
  Data are lacking on the relationship between postresuscitation ECG and outcome in out-of-hospital cardiac arrest (OHCA). We examined the prognostic information that postresuscitation ECG rhythm can provide for predicting outcome in OHCA survivors.
  
  
  METHODS
  The retrospective observational study enrolled 56 successfully resuscitated nontraumatic adult OHCA patients. Postresuscitation 12-lead ECGs of the enrolled patients were interpreted independently by two cardiologists. We compared baseline clinical characteristics, CPR process, and outcome in the 8 patients with postresuscitation accelerated idioventricular rhythm (AIVR, n = 8) and the 48 without AIVR.
  
  
  RESULTS
  The AIVR group had a higher proportion of patients with coronary artery disease (50% vs. 15%), initial ventricular tachycardia/fibrillation rhythm (50% vs. 8%), and cardiac origin of OHCA (75% vs. 23%). AIVR patients had longer total CPR duration (32 vs. 18 min) and higher dose of epinephrine use (10 vs. 3 mg). Postresuscitation AIVR was associated with an increased incidence of repeated CPR within 1 h after return of spontaneous circulation (38% vs. 4%), and lower 7-day survival rate (0% vs. 50%).
  
  
  CONCLUSIONS
  AIVR on postresuscitation ECG offers a prognostic factor related to a higher repeated CPR rate within 1h after return of spontaneous circulation and a lower 7-day survival rates in successfully resuscitated OHCA victims.
authors: National Taiwan University Hospital and College of Medicine, Department of Emergency Medicine, No. 7 Chung-Shan S. Road, 100 Taipei, Taiwan.
authors: Min-Shan
authors: MS
authors: Tsai
authors: Chien-Hua
authors: CH
authors: Huang
authors: Hung-Ren
authors: HR
authors: Chen
authors: Cheng-Chun
authors: CC
authors: Hsieh
authors: Wei-Tien
authors: WT
authors: Chang
authors: Chiung-Yuan
authors: CY
authors: Hsu
authors: Matthew Huei-Ming
authors: MH
authors: Ma
authors: Shyr-Chyr
authors: SC
authors: Chen
authors: Wen-Jone
authors: WJ
authors: Chen
mesh_terms: D016170:Accelerated Idioventricular Rhythm / Q000453:epidemiology*; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation; D003324:Coronary Artery Disease / Q000453:epidemiology; D004562:Electrocardiography; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D006323:Heart Arrest / Q000401:mortality* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D019233:Retreatment; D012189:Retrospective Studies; D016019:Survival Analysis; D017741:Survivors; D017180:Tachycardia, Ventricular / Q000453:epidemiology; D013997:Time Factors; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine