Cardiac arrest & resuscitation

The burden of sudden cardiac arrest in the setting of acute coronary syndrome

ResuscitationPublished Retrospective cohort study

Authors' conclusion

The inclusion of ACS-SCA subjects dying before the first emergency medical service (EMS) contact results in a higher and likely more accurate estimation of SCA during ACS. The incidence of SCA was higher among subjects without prior CAD diagnosis.

Study context

Population
ACS patients and autopsy-verified SCD subjects with coronary artery disease (CAD)/ACS, Northern Ostrobothnia, Finland, 2016472 ACS + 162 SCD (extrapolated)
Exposure
ACS with vs without prior CAD diagnosis
Outcome
Complete incidence of SCA during ACS
Methodological detailsautopsy-verified SCD cohort, extrapolation
  • Autopsy-verified SCD cohort
  • Extrapolation

Main finding

As reported in the abstract

Incidence of SCA during ACS

Incidence of SCA during ACS

STEMI

  • No prior CAD vs Prior CAD: P = 0.0052 — statistically significant difference
Overall sudden cardiac arrest (SCA) incidence in ACS
17.5%

Observational data: associations, not effects.

Original publication

The burden of sudden cardiac arrest in the setting of acute coronary syndrome. Resuscitation. Published 26 June 2024. doi:10.1016/j.resuscitation.2024.110297

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