Porzer Martin, Mrazkova Eva, Homza Miroslav, Janout Vladimir
Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Czech Republic.
Department of Cardiovascular Diseases, University Hospital Ostrava, Czech Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2017 Dec;161(4):348-353. doi: 10.5507/bp.2017.054. Epub 2017 Dec 13.
Out-of-hospital cardiac arrest (OHCA) is a leading cause of death in developed industrial countries. The global worldwide average of OHCA incidence in adults is 95.9/100,000/year. European incidences vary according to source from 16 to 119/100,000/year. The aim of this study was to provide an overview of current information on OHCA. The incidences in various populations are discussed, along with the factors affecting the prognosis and outcome of these patients. The etiology and pathophysiological mechanisms are also described, especially in relation to the most common causes - acute and chronic forms of coronary artery disease and cardiomyopathies. Measures that could improve survival rates are discussed, with emphasis on the role of the general public and deployment of automatic external defibrillators.
院外心脏骤停（OHCA）是发达工业国家的主要死因。全球成年人OHCA的年平均发病率为95.9/10万。欧洲的发病率因来源不同而有所差异，从每年16/10万至119/10万不等。本研究的目的是概述有关OHCA的当前信息。文中讨论了不同人群中的发病率，以及影响这些患者预后和结局的因素。还描述了病因和病理生理机制，特别是与最常见病因——急性和慢性冠状动脉疾病及心肌病的关系。文中讨论了可能提高生存率的措施，重点强调了公众的作用和自动体外除颤器的部署。
