ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest

Marinos Kosmopoulos; Jason A Bartos; Demetris Yannopoulos

doi:10.1016/j.iccl.2021.03.007

ST-Elevation Myocardial Infarction Complicated by Out-of-Hospital Cardiac Arrest

Interv Cardiol Clin. 2021 Jul;10(3):359-368. doi: 10.1016/j.iccl.2021.03.007.

Authors

Marinos Kosmopoulos¹, Jason A Bartos¹, Demetris Yannopoulos²

Affiliations

¹ Cardiovascular Division, Center for Resuscitation Medicine, University of Minnesota Medical School, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA.
² Cardiovascular Division, Center for Resuscitation Medicine, University of Minnesota Medical School, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA. Electronic address: yanno001@umn.edu.

PMID: 34053622
DOI: 10.1016/j.iccl.2021.03.007

Abstract

5-10% of ST-elevated myocardial infarctions (STEMI) present with out-of-hospital cardiac arrest (OHCA). Although this subgroup of patients carries the highest in-hospital mortality among the STEMI population, it is the least likely to undergo coronary angiography and revascularization. Due to the concomitant neurologic injury, patients with OHCA STEMI require prolonged hospitalization and adjustments to standard MI management. This review systematically assesses the course of patients with OHCA STEMI from development of the arrest to hospital discharge, assesses the limiting factors for their treatment access, and presents the evidence-based optimal intervention strategy for this high-risk MI population.

Keywords: Acute coronary syndrome; Antiplatelet; Cardiac arrest; Hypothermia; ST-Elevation myocardial infarction.

Publication types

Review

MeSH terms

Coronary Angiography
Hospital Mortality
Humans
Out-of-Hospital Cardiac Arrest* / complications
Out-of-Hospital Cardiac Arrest* / therapy
Patient Discharge
ST Elevation Myocardial Infarction* / complications
ST Elevation Myocardial Infarction* / diagnosis