The prognostic value of initial serum lactate for survival in postcardiac arrest patients undergoing cardiac catheterization
dc.contributor.author | Rosenberg, Russell D. | |
dc.contributor.author | Guo, Chen‐yu C. | |
dc.contributor.author | Chatterjee, Saurav | |
dc.contributor.author | Schreyer, Kraftin E. | |
dc.contributor.author | Bashir, Riyaz | |
dc.contributor.author | O’Murchu, Brian | |
dc.contributor.author | Aggarwal, Vikas | |
dc.contributor.author | DeAngelis, Michael | |
dc.contributor.author | Edmundowicz, Daniel | |
dc.contributor.author | O’Neill, Brian P. | |
dc.date.accessioned | 2021-03-02T21:47:57Z | |
dc.date.available | 2022-03-02 16:47:56 | en |
dc.date.available | 2021-03-02T21:47:57Z | |
dc.date.issued | 2021-02-01 | |
dc.identifier.citation | Rosenberg, Russell D.; Guo, Chen‐yu C. ; Chatterjee, Saurav; Schreyer, Kraftin E.; Bashir, Riyaz; O’Murchu, Brian; Aggarwal, Vikas; DeAngelis, Michael; Edmundowicz, Daniel; O’Neill, Brian P. (2021). "The prognostic value of initial serum lactate for survival in postcardiac arrest patients undergoing cardiac catheterization." Catheterization and Cardiovascular Interventions 97(2): 228-234. | |
dc.identifier.issn | 1522-1946 | |
dc.identifier.issn | 1522-726X | |
dc.identifier.uri | https://hdl.handle.net/2027.42/166436 | |
dc.description.abstract | ObjectivesWe sought to investigate the prognostic value of serum lactate on survival in patients postcardiac arrest.BackgroundPatients who experience cardiac arrest, in- or out- of- hospital, may have a poor outcome. Initial electrocardiograms may suggest ischemia as an underlying cause and urgent referral for catheterization occurs. It remains unclear which of these patients may suffer a poor outcome.MethodsWe retrospectively reviewed all patients at our institution taken for urgent catheterization after cardiac arrest between January 2014 and September 2018. Three hundred and eighty four patients were referred urgently to the cath lab during this period, 50 with prior arrest.ResultsSixty six percent underwent coronary intervention. The mean age of the entire cohort was 57- years. Thirty four percent were female, 40% had a history of coronary artery disease, and 94% were intubated at the time of cardiac catheterization. Overall survival to discharge was 40%. Survival in patients who underwent coronary intervention compared with those who did not was similar (45.5 vs. 29.4%, p = .27). Mean lactate level in survivors versus nonsurvivors was 4.7- ±- 3.8 and 9.8- ±- 4.7- mmol/L, respectively (p- <- .05). When divided into tertiles by serum lactate (<- 4.5, 4.5- 9, 9- mmol/L), survival to discharge was 75, 29.4, and 17.6%, respectively (p- <- .05). Initial serum lactate and age were independent predictors of in- hospital mortality.ConclusionsIn patients undergoing cardiac catheterization following cardiac arrest, routine measurement of serum lactate is a useful and available laboratory test that may help identify patients at risk for a poor outcome. | |
dc.publisher | John Wiley & Sons, Inc. | |
dc.subject.other | out- of- hospital cardiac arrest | |
dc.subject.other | resuscitation | |
dc.subject.other | in- hospital cardiac arrest | |
dc.subject.other | lactic acid | |
dc.title | The prognostic value of initial serum lactate for survival in postcardiac arrest patients undergoing cardiac catheterization | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Medicine (General) | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/166436/1/ccd28836.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/166436/2/ccd28836_am.pdf | |
dc.identifier.doi | 10.1002/ccd.28836 | |
dc.identifier.source | Catheterization and Cardiovascular Interventions | |
dc.identifier.citedreference | McNally B, Robb R, Mehta M, et al. Out- of- hospital cardiac arrest surveillance- cardiac arrest registry to enhance survival (CARES), United States, October 1, 2005- December 31, 2010. MMWR Surveill Summ. 2011; 60 ( 8 ): 1 - 19. | |
dc.identifier.citedreference | Dreyfuss D, Jondeau G, Couturier R, Rahmani J, Assayag P, Coste F. Tall T waves during metabolic acidosis without hyperkalemia: a prospective study. Crit Care Med. 1989; 17 ( 5 ): 404 - 408. | |
dc.identifier.citedreference | Millin MG, Comer AC, Nable JV, et al. Patients without ST elevation after return of spontaneous circulation may benefit from emergent percutaneous intervention: a systematic review and meta- analysis. Resuscitation. 2016; 108: 54 - 60. | |
dc.identifier.citedreference | Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out- of- hospital cardiac arrest with induced hypothermia. N Engl J Med. 2002; 346 ( 8 ): 557 - 563. | |
dc.identifier.citedreference | Benjamin EJ, Virani SS, Callaway CW, et al. Heart disease and stroke statistics- 2018 update: a report from the American Heart Association. Circulation. 2018; 137 ( 12 ): e467- e492. | |
dc.identifier.citedreference | Hallstrom AP, Ornato JP, Weisfeldt M, et al. Public- access defibrillation and survival after out- of- hospital cardiac arrest. N Engl J Med. 2004; 351 ( 7 ): 637 - 646. | |
dc.identifier.citedreference | Valenzuela TD, Roe DJ, Nichol G, Clark LL, Spaite DW, Hardman RG. Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med. 2000; 343 ( 17 ): 1206 - 1209. | |
dc.identifier.citedreference | Hypothermia after Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med. 2002; 346 ( 8 ): 549 - 556. | |
dc.identifier.citedreference | Dumas F, White L, Stubbs BA, Cariou A, Rea TD. Long- term prognosis following resuscitation from out of hospital cardiac arrest: role of percutaneous coronary intervention and therapeutic hypothermia. J Am Coll Cardiol. 2012; 60 ( 1 ): 21 - 27. | |
dc.identifier.citedreference | Aldhoon B, Melenovsky V, Kettner J, Kautzner J. Clinical predictors of outcome in survivors of out- of- hospital cardiac arrest treated with hypothermia. Cor Vasa. 2012; 54 ( 2 ): e68 - e75. | |
dc.identifier.citedreference | Oddo M, Ribordy V, Feihl F, et al. Early predictors of outcome in comatose survivors of ventricular fibrillation and non- ventricular fibrillation cardiac arrest treated with hypothermia: a prospective study. Crit Care Med. 2008; 36 ( 8 ): 2296 - 2301. | |
dc.identifier.citedreference | Kliegel A, Losert H, Sterz F, et al. Serial lactate determinations for prediction of outcome after cardiac arrest. Medicine. 2004; 83 ( 5 ): 274 - 279. | |
dc.identifier.citedreference | Donnino MW, Miller J, Goyal N, et al. Effective lactate clearance is associated with improved outcome in post- cardiac arrest patients. Resuscitation. 2007; 75 ( 2 ): 229 - 234. | |
dc.identifier.citedreference | Donnino MW, Andersen LW, Giberson T, et al. Initial lactate and lactate change in post- cardiac arrest. Crit Care Med. 2014; 42 ( 8 ): 1804 - 1811. | |
dc.identifier.citedreference | Orban J- C, Novain M, Cattet F, et al. Association of serum lactate with outcome after out- of- hospital cardiac arrest treated with therapeutic hypothermia. PLoS One. 2017; 12 ( 3 ): e0173239. | |
dc.identifier.citedreference | Müllner M, Sterz F, Domanovits H, Behringer W, Binder M, Laggner AN. The association between blood lactate concentration on admission, duration of cardiac arrest, and functional neurological recovery in patients resuscitated from ventricular fibrillation. Intensive Care Med. 1997; 23 ( 11 ): 1138 - 1143. | |
dc.identifier.citedreference | Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS. Trends in survival after in- hospital cardiac arrest. N Engl J Med. 2012; 367 ( 20 ): 1912 - 1920. | |
dc.identifier.citedreference | Riva G, Ringh M, Jonsson M, Svensson L, Herlitz J, Claesson A, Djärv T, Nordberg P, Forsberg S, Rubertsson S, Nord A, Rosenqvist M, Hollenberg J. Survival in out- of- hospital cardiac arrest after standard cardiopulmonary resuscitation or chest compressions only before arrival of emergency medical services: nationwide study during three guideline periods. Circulation. 2019; 139: 2600 - 2609. | |
dc.identifier.citedreference | Ibanez B, James S, Agewall S, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST- segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST- segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018; 39 ( 2 ): 119 - 177. | |
dc.identifier.citedreference | O’Gara PT, Kushner FG, Ascheim DD, et al. ACCF/AHA guideline for the management of ST- elevation myocardial infarction. Circulation. 2013; 127: e362 - e425. | |
dc.identifier.citedreference | Reynolds JC, Callaway CW, El Khoudary SR, Moore CG, Alvarez RJ, Rittenberger JC. Coronary angiography predicts improved outcome following cardiac arrest: propensity- adjusted analysis. J Intensive Care Med. 2009; 24 ( 3 ): 179 - 186. | |
dc.identifier.citedreference | Sandroni C, Cariou A, Cavallaro F, et al. Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine. Intensive Care Med. 2014; 40 ( 12 ): 1816 - 1831. | |
dc.identifier.citedreference | Lemkes JS, Janssens GN, van der Hoeven NW, et al. Coronary angiography after cardiac arrest without ST- segment elevation. N Engl J Med. 2019; 380 ( 15 ): 1397 - 1407. | |
dc.identifier.citedreference | Patel NJ, Atti V, Kumar V, Panakos A, et al. Temporal trends of survival and utilization of mechanical circulatory support devices in patients with in- hospital cardiac arrest secondary to ventricular tachycardia/ventricular fibrillation. 2019; 94 ( 4 ): 578 - 587. | |
dc.identifier.citedreference | Chen Y- S, Lin J- W, Yu H- Y, et al. Cardiopulmonary resuscitation with assisted extracorporeal life- support versus conventional cardiopulmonary resuscitation in adults with in- hospital cardiac arrest: an observational study and propensity analysis. Lancet. 2008; 372 ( 9638 ): 554 - 561. | |
dc.identifier.citedreference | Patel NJ, Patel N, Bhardwaj B, et al. Trends in utilization of mechanical circulatory support in patients hospitalized after out- of- hospital cardiac arrest. Resuscitation. 2018; 127: 105 - 113. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.