Archive - Aug 2011 - SCA Article

Archive - Aug 2011 - SCA Article

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August 30th

Studies: Increasing Complications for Pacemakers and ICDs

NEW YORK– Implantation of cardiac implantable electrophysiological devices (CIED) is associated with increasing rates of complications and mortality, according to results of 3 studies published in the August 23rd online Journal of the American College of Cardiology.

There have been dramatic increases in the implantation of these devices, largely due to the expanded indications and the aging of the general population. Previous studies have suggested that the complication rates associated with implantation of these devices may be increasing, too.

Infection rates have clearly increased, according to a report from Dr. Arnold J. Greenspon from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania and colleagues. They analyzed the historical trends for CIED infection in the United States between 1993 and 2008 using data from the Nationwide Inpatient Sample.

World’s Largest Cardiac Arrest Trial Shows Longer Period of Initial CPR by Paramedics and Firefighters Provides No Benefit

 A study involving nearly 10,000 cardiac arrest patients from 10 North American regions has shown that extending the period of initial cardiopulmonary resuscitation (CPR) by paramedics and firefighters from one to three minutes provides no benefit. The study, led by Dr. Ian Stiell of the Ottawa Hospital Research Institute (OHRI), the University of Ottawa (uOttawa) and the Resuscitation Outcomes Consortium (ROC), resolves a worldwide controversy about cardiac arrest care. It is the largest randomized cardiac arrest trial in the world, published in the New England Journal of Medicine.

August 29th

Report on AED Failures: A Reminder that Maintenance is Vital

WASHINGTON-- More than 1,000 cardiac arrest deaths over 15 years are connected to the failure of automated external defibrillators (AEDs); battery failure accounted for almost one-quarter of the failures. The study was published online last week in Annals of Emergency Medicine ("Analysis of Automated External Defibrillator Device Failures Reported to the Food and Drug Administration" http://bit.ly/ox6YYr).

"Survival from cardiac arrest depends on the reliable operation of AEDs," said lead study author Lawrence DeLuca, MD, EdD, of the University of Arizona Department of Emergency Medicine in Tucson. "AEDs can truly be lifesavers but only if they are in good working order and people are willing to use them."

August 27th

Patients With ICDs Live Longer, However Pacing is Crucial

Adverse effects of right ventricular pacing on the survival of ICD (implantable cardioverter-defibrillator) patients are long term, researchers from the Minneapolis Heart Institute at Abbott Northwestern Hospital explained, however, CRT (cardiac resynchronization therapy) lessens the impact.

The scientists presented their findings at the European Society of Cardiology (ESC) Congress August 28 in Paris, France. Lead author Robert G. Hauser, MD, said: "We were pleased to discover that the average patient, despite having severe left ventricular dysfunction, lived nine years after ICD implantation, which are the best results that we are aware of."

August 16th

The Joint Commission Issues Landmark Monograph on Challenge of Sudden Cardiac Arrest

Joint Commission ReportPITTSBURGH-- The Joint Commission has released a landmark monograph addressing community-based efforts for the treatment and follow-up of sudden cardiac arrest (SCA). Sudden Cardiac Arrest: Meeting the Challenge is targeted to healthcare professionals who care for cardiac patients, including those who survive SCA.

August 9th

August 8th

Harris's Legacy: A Heart Filled with Love

WINNIPEG--If anyone had reason to hate it was Richard Harris, but instead he chose to love, and that will be his lasting legacy.

Harris was once forced to sit in a car eating peanut butter sandwiches with his black teammates while white team members dined on steak inside a hotel. He faced prejudice for many years of his too-short life, but wouldn't let it turn him to hate.

Instead, Harris became a giant both physically and emotionally as he helped others his entire life.

A memorial for Harris held in Winnipeg on Sunday drew the entire Blue Bombers organization, as well as players and coaches from around the CFL as his colleagues came to say goodbye.

August 5th

Research Demonstrates Benefits of Therapeutic Hypothermia

Underused technology holds great promise

Research continues to demonstrate the positive role of therapeutic hypothermia (TH) in treating out-of-hospital cardiac arrest (OHCA) patients.

In the July 12, 2011 issue of Circulation, Michael Mooney, et al. from Minneapolis Heart Institute and Northwestern University in Chicago published data on 140 consecutive OHCA patients who were treated and transferred to a central therapeutic hypothermia-capable hospital.

Patients were initially cooled in the ambulances or referring hospitals with ice packs and then transferred to the central hospital where they were further cooled and maintained at 33°C (92°F) for 24 hours with the Arctic Sun device (Medivance, Louisville, CO).

CARES Report Points to Need to Increase Bystander Intervention in Sudden Cardiac Arrest

Each year, approximately 295,000 persons in the United States experience an out-of-hospital cardiac arrest (OHCA). Approximately 92% of persons who experience an OHCA event die.

An OHCA is defined as cessation of cardiac mechanical activity that occurs outside of the hospital setting and is confirmed by the absence of signs of circulation. Whereas an OHCA can occur from non-cardiac causes (i.e., trauma, drowning, overdose, asphyxia, electrocution, primary respiratory arrests, and other non-cardiac etiologies), the majority (70-85%) of such events have a cardiac cause.

This landmark report is based on a review of of 31,689 OCHA cases of presumed cardiac etiology (October 1, 2005 and December 31, 2010) in the Cardiac Arrest Registry to Enhance Survival (CARES) Registry. Results indicate:

Vest Saves a Life

ST. AUGUSTINE, FL--John Whitsett strummed a guitar Monday. He works hard and he plays nicely in a band in St. Augustine, Florida In February he was diagnosed with ventricular tachycardia, a heart condition that can be fatal.

In March Whitsett was prescribed a wearable defibrillator, appropriately called a Life Vest, which could jump-start his heart if it ever stopped. The device is connected to a small box that the patient clips to his waistband. Whitsett is thankful he was wearing the vest three weeks ago when he was at a bus stop.

"I felt myself fading out and I didn't think anything of it. I grabbed something," Whitsett recalled. He passed out. The defibrillator vest went into action and gave him a shock. Whitsett didn't feel a thing. The next thing he knew he was on the ground talking to the bus driver.

"The bus driver said I can't let you get on the bus," Whitsett remembered. "I said, 'I'm fine. I just want to go home.'"

Mission & Vision

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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