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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
11
|
| pubmed:dateCreated |
1984-11-13
|
| pubmed:abstractText |
Between January 1979 and December 1982, 84 patients between the ages of 1 and 39 years presented to the emergency department in a state of cardiac arrest. There were 58 male patients (69%) and 26 female patients (31%) in the group. Presenting rhythms were ventricular fibrillation (37%), asystole (37%), idioventricular rhythm (14%), heart block (4%), bradycardia (4%), ventricular tachycardia (3%), and electromechanical dissociation (3%). Thirty-two percent had bystander CPR. Of 21 patients initially resuscitated (25%), only four (5%) survived to discharge from the hospital. All survivors were neurologically intact. Seventy-five of the 80 patients who died (90%) underwent autopsy. Cause of death in the five remaining patients was inferred from clinical history. Etiologies of the cardiac arrests were the following: toxic exposure or ingestion (26%), atherosclerotic heart disease (23%), undetermined (11%), pulmonary embolism (6%), hemorrhage (6%), epilepsy (2%), cardiomyopathy (7%), myocarditis (2%), pneumonia (4%), and one case each of airway obstruction, asthma, peptic disease, and septic shock. Diverse etiologies should lead to a diagnostic search for reversible conditions in young patients. The prognosis for hospital discharge is poorer in the young population than is reported in our overall cardiac arrest population; however, numbers of neurologically intact survivors are similar in the young and the overall cardiac arrest population.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0196-0644
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
13
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1011-5
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:6486535-Adolescent,
pubmed-meshheading:6486535-Adult,
pubmed-meshheading:6486535-Age Factors,
pubmed-meshheading:6486535-Child,
pubmed-meshheading:6486535-Child, Preschool,
pubmed-meshheading:6486535-Emergency Medical Services,
pubmed-meshheading:6486535-Female,
pubmed-meshheading:6486535-Heart Arrest,
pubmed-meshheading:6486535-Humans,
pubmed-meshheading:6486535-Infant,
pubmed-meshheading:6486535-Male,
pubmed-meshheading:6486535-Prognosis,
pubmed-meshheading:6486535-Retrospective Studies,
pubmed-meshheading:6486535-Time Factors
|
| pubmed:year |
1984
|
| pubmed:articleTitle |
Cardiac arrest under age 40: etiology and prognosis.
|
| pubmed:publicationType |
Journal Article
|