title: Genetic, clinical and pharmacological determinants of out-of-hospital cardiac arrest: rationale and outline of the AmsteRdam Resuscitation Studies (ARREST) registry.
abstract: Out-of-hospital cardiac arrest (OHCA) is a major public health problem. Recognising the complexity of the underlying causes of OHCA in the community, we aimed to establish the clinical, pharmacological, environmental and genetic factors and their interactions that may cause OHCA.
  
  
  
  We set up a large-scale prospective community-based registry (AmsteRdam Resuscitation Studies, ARREST) in which we prospectively include all resuscitation attempts from OHCA in a large study region in the Netherlands in collaboration with Emergency Medical Services. Of all OHCA victims since June 2005, we prospectively collect medical history (through hospital and general practitioner), and current and previous medication use (through community pharmacy). In addition, we include DNA samples from OHCA victims with documented ventricular tachycardia/fibrillation during the resuscitation attempt since July 2007. Various study designs are employed to analyse the data of the ARREST registry, including case-control, cohort, case only and case-cross over designs.
  
  
  
  We describe the rationale, outline and potential results of the ARREST registry. The design allows for a stable and reliable collection of multiple determinants of OHCA, while assuring that the patient, lay-caregiver or medical professional is not hindered in any way. Such comprehensive data collection is required to unravel the complex basis of OHCA. Results will be published in peer-reviewed journals and presented at relevant scientific symposia.
authors.affiliation: Department of Cardiology, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: M T
authors.initials: MT
authors.lastname: Blom
authors.affiliation: Department of Cardiology, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: D A
authors.initials: DA
authors.lastname: van Hoeijen
authors.affiliation: Department of Cardiology, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands ; Interuniversity Cardiology Institute Netherlands , Utrecht , The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Bardai
authors.affiliation: Department of Cardiology, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Berdowski
authors.affiliation: Division of Pharmacoepidemiology and Clinical Pharmacology , Utrecht Institute for Pharmaceutical Sciences , Utrecht , The Netherlands.
authors.forename: P C
authors.initials: PC
authors.lastname: Souverein
authors.affiliation: Division of Pharmacoepidemiology and Clinical Pharmacology , Utrecht Institute for Pharmaceutical Sciences , Utrecht , The Netherlands.
authors.forename: M L
authors.initials: ML
authors.lastname: De Bruin
authors.affiliation: Department of Cardiology, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: R W
authors.initials: RW
authors.lastname: Koster
authors.affiliation: Division of Pharmacoepidemiology and Clinical Pharmacology , Utrecht Institute for Pharmaceutical Sciences , Utrecht , The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: de Boer
authors.affiliation: Department of Cardiology, Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: H L
authors.initials: HL
authors.lastname: Tan