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心脏骤停时的心律是什么？是有争议的教条还是真实的事实？

What's the cardiac rhythm at the time of cardiac arrest? Disputed dogma or true fact?

作者信息

Maury Philippe, Marimpouy Nathan, Beneyto Maxime

机构信息

Department of Cardiology, University Hospital Toulouse, 1 avenue Pr J Poulhès, Toulouse 31000, France.

I2MC, INSERM UMR 1297, Toulouse, France.

出版信息

Europace. 2024 Dec 26;27(1). doi: 10.1093/europace/euae299.

DOI:10.1093/europace/euae299
PMID:39691054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11719623/
Abstract

It was widely accepted that malignant ventricular arrhythmias (VA) are the main direct initial cause for cardiac arrest and sudden cardiac death (SCD), but diverging data tended to demonstrate that asystole or pulseless activity were becoming the most prevalent cardiac rhythms at the time of cardiac arrest. We challenge here these conceptions and reinforce the persisting prominent role of VA in SCD.

摘要

恶性室性心律失常（VA）是心脏骤停和心源性猝死（SCD）的主要直接初始原因，这一观点已被广泛接受，但不同的数据倾向于表明，心脏骤停时心脏停搏或无脉电活动正成为最常见的心律。在此，我们对这些观念提出质疑，并强调VA在SCD中持续存在的突出作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675e/11719623/3301fb08d89f/euae299f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675e/11719623/3301fb08d89f/euae299_ga.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675e/11719623/3301fb08d89f/euae299f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675e/11719623/3301fb08d89f/euae299_ga.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675e/11719623/3301fb08d89f/euae299f1.jpg

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本文引用的文献

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The Interaction Effect of Age, Initial Rhythm, and Location on Outcomes After Out-of-Hospital Cardiac Arrest: A Retrospective Cohort Study.院外心脏骤停后年龄、初始心律和发病地点对预后的交互作用：一项回顾性队列研究
J Clin Med. 2024 Oct 26;13(21):6426. doi: 10.3390/jcm13216426.
2
Factors mediating community race and ethnicity differences in initial shockable rhythm for out-of-hospital cardiac arrests in Texas.德克萨斯州院外心脏骤停初始可除颤节律中社区种族和民族差异的中介因素。
Resuscitation. 2024 Jul;200:110238. doi: 10.1016/j.resuscitation.2024.110238. Epub 2024 May 10.
3
Risk stratification of sudden cardiac death: a review.
心脏性猝死的风险分层：综述。
Europace. 2023 Aug 25;25(8). doi: 10.1093/europace/euad203.
4
Extracorporeal cardiopulmonary resuscitation in adult patients with out-of-hospital cardiac arrest: a retrospective large cohort multicenter study in Japan.体外心肺复苏在院外心脏骤停的成年患者中的应用：日本一项回顾性大型队列多中心研究。
Crit Care. 2022 May 9;26(1):129. doi: 10.1186/s13054-022-03998-y.
5
In-hospital versus out-of-hospital cardiac arrest: Characteristics and outcomes in patients admitted to intensive care after return of spontaneous circulation.院内与院外心搏骤停：自主循环恢复后收入重症监护病房患者的特征和结局。
Resuscitation. 2022 Jul;176:1-8. doi: 10.1016/j.resuscitation.2022.04.023. Epub 2022 Apr 28.
6
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