Cardiac arrest & resuscitation

Toxicological profile using mass spectrometry in sudden cardiac arrest survivors admitted to a tertiary centre

ResuscitationPublished Prospective cohort study

Authors' conclusion

In resuscitated sudden cardiac arrest patients with cardiac arrest of presumed cardiac cause, routine toxicological screening provides limited extra information.

Study context

Population
Adults aged 18–90 years resuscitated from sudden cardiac arrest of presumed cardiac cause, single tertiary centre
Participants
186 adults
Outcome
Qualitative and quantitative drug composition by mass spectrometry-based forensic toxicology
Methodological detailssingle-centre, consecutive enrolment
  • Single-centre
  • Consecutive enrolment

Main finding

As reported in the abstract

Drug detection by toxicology
Different drugs identified (excluding metabolites)
90
Patients with ≥1 drug detected
82%
Detected drugs per patient, median (IQR)
2 (1-4)
Commonly abused drugs present
16%
QT-prolonging drugs present
12%
Polypharmacy (≥5 drugs)
19%
Potentially lethal drug concentrations
0

Observational data: associations, not effects.

Original publication

Toxicological profile using mass spectrometry in sudden cardiac arrest survivors admitted to a tertiary centre. Resuscitation. Published 4 April 2024. doi:10.1016/j.resuscitation.2024.110197

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