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Cardiac arrest and coronavirus disease 2019.
Baldi, Enrico; Cortegiani, Andrea; Savastano, Simone.
  • Baldi E; Department of Molecular Medicine, Section of Cardiology, University of Pavia.
  • Cortegiani A; Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia.
  • Savastano S; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia.
Curr Opin Crit Care ; 28(3): 237-243, 2022 06 01.
Article in English | MEDLINE | ID: covidwho-1948568
ABSTRACT
PURPOSE OF REVIEW The impact of the coronavirus disease 2019 (COVID-19) on the cardiovascular system has been highlighted since the very first weeks after the severe acute respiratory syndrome coronavirus 2 identification. We reviewed the influence of COVID-19 pandemic on cardiac arrest, both considering those occurred out of the hospital (OHCA) and in the hospital (IHCA). RECENT

FINDINGS:

An increase in OHCA incidence occurred in different countries, especially in those regions most burdened by the COVID-19, as this seems to be bounded to the pandemic trend. A change of OHCA patients' characteristics, with an increase of the OHCA occurred at home, a decrease in bystander cardiopulmonary resuscitation and automated external defibrillator use before Emergency Medical Service (EMS) arrival and an increase in non-shockable rhythms, have been highlighted. A dramatic drop in the OHCA patients' survival was pointed out in almost all the countries, regardless of the high or low-incidence of COVID-19 cases. Concerning IHCA, a reduction in survival was highlighted in patients with COVID-19 who sustained a cardiac arrest.

SUMMARY:

Cardiac arrest occurrence and survival were deeply affected by the pandemic. Informative campaigns to the population to call EMS in case of need and the re-allocation of the prehospital resources basing on the pandemic trend are needed to improve survival.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Emergency Medical Services / Out-of-Hospital Cardiac Arrest / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Curr Opin Crit Care Journal subject: Critical Care Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Emergency Medical Services / Out-of-Hospital Cardiac Arrest / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Curr Opin Crit Care Journal subject: Critical Care Year: 2022 Document Type: Article