The effect of heart rate on emergency cardiac arrest patients in return of spontaneous circulation
Guo Kai
Zhang Yuanbo
Zhai Yucui
Zhao Menglong
Zhang Zhizhong
Zhou Rongbin
Abstract:Objective To investigate the effect of heart rate on emergency cardiac arrest patients in return of spontaneous circulation.Methods A total of 162 patients of non-traumatic cardiac arrest the PLA Army General Hospital and Beijing Friendship Hospital from March 2014 to March 2016 were selected. There were 77 males and 85 females with an average age of (62.85±20.21 years). The patients were divided into death group and survival group. The 24 h and 90 d were used as the recent and long-term observation endpoints. Observation indexes include: CA initial rhythm, basal heart rate, ROSC heart rate, et al.Results With respect to initial rhythm types of patients, 67.65% were ventricular tachycardia/ventricular fibrillation (VT/VF), 36.21% were pulseless electrical activity (PEA), 35.71% were asystole (ASY). The baseline heart rate had no effect on the proximal and long-term prognosis of patients with cardiac arrest, the difference was not statistically significant (P>0.05). Heart rate in return of spontaneous circulation (ROSC) significantly affected the short-term prognosis of patients with cardiac arrest, the difference was statistically significant (P<0.001).Conclusions The increase of heart rate in ROSC can improve the recent (24 h) survival rate of cardiopulmonary resuscitation patients.
Keywords:Cardiopulmonary resuscitationCardiac arrestSurvivalReturn of spontaneous circulationHeart rate
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 924-926 )