Herlitz J, Ekström L, Wennerblom B, Axelsson A, Bång A, Holmberg S
Division of Cardiology, Sahlgrenska Hospital, Gothenburg, Sweden.
Resuscitation. 1994 Jul;28(1):27-36. doi: 10.1016/0300-9572(94)90051-5.
A large proportion of patients who suffer out-of-hospital cardiac arrest have asystole as the initial recorded arrhythmia. Since they have a poor prognosis, less attention has been paid to this group of patients.
To describe a consecutive population of patients with out-of-hospital cardiac arrest with asystole as the first recorded arrhythmia and to try to define indicators for an increased chance of survival in this population.
The community of Gothenburg.
All patients who suffered out-of-hospital cardiac arrest during 1981 to 1992 and were reached by our emergency medical service (EMS) system and where cardiopulmonary resuscitation (CPR) was attempted.
In all there were 3434 cardiac arrests of which 1222 (35%) showed asystole as the first recorded arrhythmia. They differed from patients with ventricular fibrillation by being younger, including more women and having a longer interval between collapse and arrival of the first ambulance. In all 90 patients (7%) were hospitalized alive and 20 (2%) could be discharged from hospital. Independent predictors for an increased chance of survival were: (a) a short interval between the collapse and arrival of the first ambulance (P < 0.001) and the time the collapse occurred (P < 0.05). Initial treatment given in some cases with adrenaline, atropine and tribonate were not associated with an increased survival.
Of all the patients with out-of-hospital cardiac arrest, 35% were found in asystole. Of these, 7% were hospitalized alive and 2% could be discharged from hospital. Efforts should be made to improve still further the interval between collapse and arrival of the first ambulance.
很大一部分院外心脏骤停患者最初记录的心律失常为心搏停止。由于其预后较差，这组患者受到的关注较少。
描述以心搏停止作为首次记录心律失常的院外心脏骤停患者的连续人群，并试图确定该人群中生存机会增加的指标。
哥德堡社区。
1981年至1992年期间所有发生院外心脏骤停且我们的紧急医疗服务（EMS）系统能够到达并尝试进行心肺复苏（CPR）的患者。
共有3434例心脏骤停，其中1222例（35%）首次记录的心律失常为心搏停止。他们与室颤患者的不同之处在于年龄较小，女性更多，且从晕倒到第一辆救护车到达的间隔时间更长。共有90例患者（7%）存活入院，20例（2%）可出院。生存机会增加的独立预测因素为：（a）从晕倒到第一辆救护车到达的间隔时间短（P<0.001）以及晕倒发生的时间（P<0.05）。某些情况下给予的肾上腺素、阿托品和泛癸利酮初始治疗与生存率增加无关。
在所有院外心脏骤停患者中，35%被发现为心搏停止。其中，7%存活入院，2%可出院。应进一步努力缩短从晕倒到第一辆救护车到达的间隔时间。
