Cardiac arrest & resuscitation
Survival following cardiac arrest is associated with lower spontaneous echo contrast of cardiac chamber blood. A retrospective analysis of echocardiograms from a large cardiac arrest study
Authors' conclusion
SEC is common following cardiac arrest. Patients with higher digital greyscale measurement of right ventricular cardiac chamber blood were less likely to demonstrate ROSC or survival to hospital admission.
Study context
- Population
- Patients presenting to the ED after OHCA with digitally recorded echocardiograms
- Participants
- 717 patients
- Exposure
- Spontaneous echo contrast (SEC) vs no SEC on echocardiography after OHCA
- Outcome
- Survival to hospital discharge
Methodological detailsmulticentre, blinded image review
- Multicentre
- Blinded image review
Main finding
As reported in the abstract
- Less common with SEC, but the difference did not reach statistical significance
Observational data: associations, not effects.
Secondary outcomes
Survival to hospital admission
P = 0.0065
ROSC and survival to hospital admission, by higher right ventricular (RV) greyscale
| OR (CI) | P value | ||
|---|---|---|---|
| Higher RV greyscaleROSC | 0.21 (0.05–0.85) | P = 0.0291 | |
| Higher RV greyscaleSurvival to hospital admission | 0.14 (0.02–0.14) | P = 0.0230 | |
| 0.050.21520Odds ratio (log scale) |
- Prevalence of SEC
- 32.2 %
- Median RV greyscale by outcome: Survived to discharge median 29
- Median RV greyscale by outcome: Survived to admission median 33
- Median RV greyscale by outcome: ROSC median 37
- Median RV greyscale by outcome: Died in ED without ROSC median 45
ROSC and survival to hospital admission, by higher RV greyscale
- RV greyscale outperformed other cardiac chamber measurements
Original publication
Survival following cardiac arrest is associated with lower spontaneous echo contrast of cardiac chamber blood. A retrospective analysis of echocardiograms from a large cardiac arrest study. Resuscitation. Published 17 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →