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Am Heart J. 2018 Dec;206:131-133. doi: 10.1016/j.ahj.2018.08.013. Epub 2018 Sep 24.

Patterns of use of targeted temperature management for acute myocardial infarction patients following out-of-hospital cardiac arrest: Insights from the National Cardiovascular Data Registry.

Author information

1
Division of Cardiology, University of British Columbia, Vancouver, BC, Canada. Electronic address: cfordyce@mail.ubc.ca.
2
Duke Clinical Research Institute, Durham, NC.
3
Department of Medicine, Emory University School of Medicine, Atlanta, GA.
4
Division of Cardiology, University of British Columbia, Vancouver, BC, Canada.
5
Department of Critical Care and Division of Cardiology, University of Alberta, Edmonton, AB, Canada.
6
Division of Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
7
Cedars-Sinai Heart Institute, Los Angeles, CA.

Abstract

Contemporary utilization patterns for targeted temperature management (TTM) among patients with acute myocardial infarction (MI) and out-of-hospital cardiac arrest (OHCA) have not been well characterized in the United States. In this nationwide evaluation of MI patients with OHCA (01/2015-03/2016; 691 hospitals), 34.1% (1792/5260) of OHCA patients received TTM. Patients who were treated with TTM had higher risk clinical features. A wide inter-hospital variation (ranging from 0% to 82%) in TTM use observed despite few differences in case mix.

PMID:
30528916
DOI:
10.1016/j.ahj.2018.08.013

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