Dörr R, Effert S, Bethge C, Erbel R, Merx W, Meyer J
Dtsch Med Wochenschr. 1982 Oct 29;107(43):1622-7. doi: 10.1055/s-2008-1070176.
Between 1976 and 1980, 301 of 3106 patients in the cardiological intensive-care unit were treated for acute cardiac arrest (9.7%). As a result of better methods of prevention and the emergency doctor system, there has since 1968 been a 50% reduction in the number of cardiac arrests. Two-thirds of the patients were male, resuscitation was successful in 34% ("successful" means that the patient was transferred to a general ward from the intensive-care unit in a clinically and haemodynamically stable condition). The prognosis was better in those with posterior-wall myocardial infarction than in those with unstable angina, mitral-valve disease with congestive heart failure, and those with anterior-wall infarction, the latter generally being more extensive and thus in principle more dangerous than posterior-wall infarction. Cardiac arrest as part of cardiogenic shock proved irreversible in every instance. After three months the survival rate was 72%, after six months 66%, after one year 62% of all patients who had required resuscitation. They would not have been alive without intensive-care treatment. These figures contradict negative comments on the purpose and usefulness of cardiological intensive-care units.
1976年至1980年间，3106名入住心脏病重症监护病房的患者中有301人接受了急性心脏骤停治疗（9.7%）。由于预防方法的改进和急救医生制度，自1968年以来，心脏骤停的病例数减少了50%。三分之二的患者为男性，34%的患者复苏成功（“成功”是指患者在临床和血流动力学稳定的情况下从重症监护病房转入普通病房）。后壁心肌梗死患者的预后优于不稳定型心绞痛、伴有充血性心力衰竭的二尖瓣疾病以及前壁梗死患者，后两者通常范围更广，因此原则上比后壁梗死更危险。作为心源性休克一部分的心脏骤停在每种情况下都被证明是不可逆的。在所有需要复苏的患者中，三个月后的生存率为72%，六个月后为66%，一年后为62%。如果没有重症监护治疗，他们就不会存活。这些数据与对心脏病重症监护病房存在目的和实用性的负面评价相矛盾。
