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(Chest. 1974;65:527-529.)
© 1974 American College of Chest Physicians

Factors Determining Survival in Patients with Cardiac Arrest

John Castagna M.D.1; Max Harry Weil M.D.1; and Herbert Shubin M.D.1

1 University of Southern California School of Medicine and the Center for the Critically Ill, Hollywood Presbyterian Medical Center, Los Angeles; Department of Surgery, Harbor General Hospital, Torrance, Calif., UCLA School of Medicine

One hundred and fifty documented episodes of cardiac arrest were reviewed in 137 unselected patients hospitalized in a general hospital. Mental confusion (87 percent) and tachypnea (55 percent) were early warning signs. In 18 percent of patients, respiratory arrest preceded cardiac arrest. Ventricular fibrillation and cardiac standstill were the most common electrocardiographic mechanisms of arrest but none of the patients with ventricular asystole ultimately survived. Although 48 patients were successfully resuscitated after the first episode of cardiac arrest, only 14 (10 percent) were permanent survivors. There were no permanent survivors after resuscitation in patients who had a second episode of cardiac arrest.




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Copyright © 1974 by the American College of Chest Physicians.