Archive - Jan 27, 2012

Archive - Jan 27, 2012

This study needs to be done.

The NIH has launched two multicenter clinical trials that will evaluate treatments for sudden cardiac arrest that occurs out of the hospital.

The CCC trial will compare survival with hospital discharge rates for two CPR approaches — continuous chest compressions combined with pause-free rescue breathing vs. standard CPR — delivered by paramedics and firefighters to those experiencing cardiac arrest. Trained emergency personnel will give all participants in the CCC trial three cycles of CPR followed by heart rhythm analysis and, if needed, defibrillation.

There have been two trials in Scandanavia that showed 30%-40% improvements in outcome with compression-only CPR. There was a study in Japan that showed that, for a specific class of heart disease, compression-only CPR was not as good as 30 & 2 CPR.

Use of Primary Prevention ICD Therapy Increases, Racial Disparities Decrease

Prior research has demonstrated there is low utilization of primary prevention implantable cardioverter defibrillators (ICDs), particularly among women and blacks. Sana Al-Khatib, MD, of Duke University and colleagues set out to determine the degree to which the overall use of ICD therapy and disparities in use have changed. 

They studied 11,880 patients with a history of heart failure and left ventricular ejection fraction of <35%, who were > 65 years old and found a significant increase in the use of ICD therapy in all sex and race groups. In addition, racial disparities were no longer present, although sex differences persisted.


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The mission of the Sudden Cardiac Arrest (SCA) Foundation is to prevent death and disability from sudden cardiac arrest. The vision of the SCA Foundation is to increase awareness about sudden cardiac arrest and influence attitudinal and behavioral changes that will reduce mortality and morbidity from SCA.

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