Pulseless electrical activity epidemiology and demographics: Difference between revisions
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==Overview== | |||
Over the last three decades, the incidence of PEA has increased in parallel to a decrease in the incidence of [[VF]] and [[VT]].<ref name="pmid24297818">{{cite journal| author=Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM et al.| title=Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop. | journal=Circulation | year= 2013 | volume= 128 | issue= 23 | pages= 2532-41 | pmid=24297818 | doi=10.1161/CIRCULATIONAHA.113.004490 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24297818 }} </ref> There is a slight female preponderance of PEA. In addition, PEA is associated with increased age and black race.<ref name="pmid8341333">{{cite journal| author=Becker LB, Han BH, Meyer PM, Wright FA, Rhodes KV, Smith DW et al.| title=Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project. | journal=N Engl J Med | year= 1993 | volume= 329 | issue= 9 | pages= 600-6 | pmid=8341333 | doi=10.1056/NEJM199308263290902 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8341333 }} </ref><ref name="pmid9546017">{{cite journal| author=Chu K, Swor R, Jackson R, Domeier R, Sadler E, Basse E et al.| title=Race and survival after out-of-hospital cardiac arrest in a suburban community. | journal=Ann Emerg Med | year= 1998 | volume= 31 | issue= 4 | pages= 478-82 | pmid=9546017 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9546017 }} </ref> | |||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
PEA accounts for approximately 20% of out | * The incidence of [[SCA]] ranges between 300,000 to 370,000 cases per year, 50% of which are due to PEA.<ref name="pmid24297818">{{cite journal| author=Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM et al.| title=Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop. | journal=Circulation | year= 2013 | volume= 128 | issue= 23 | pages= 2532-41 | pmid=24297818 | doi=10.1161/CIRCULATIONAHA.113.004490 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24297818 }} </ref><ref name="pmid22406930">{{cite journal |vauthors=Teodorescu C, Reinier K, Uy-Evanado A, Ayala J, Mariani R, Wittwer L, Gunson K, Jui J, Chugh SS |title=Survival advantage from ventricular fibrillation and pulseless electrical activity in women compared to men: the Oregon Sudden Unexpected Death Study |journal=J Interv Card Electrophysiol |volume=34 |issue=3 |pages=219–25 |date=September 2012 |pmid=22406930 |pmc=3627722 |doi=10.1007/s10840-012-9669-2 |url=}}</ref> | ||
* PEA accounts for approximately 20% of out-hospital cardiac arrests and for a third of the in-hospital cardiac arrests.<ref name="pmid16391216">{{cite journal | author = Nadkarni VM, Larkin GL, Peberdy MA, Carey SM, Kaye W, Mancini ME, Nichol G, Lane-Truitt T, Potts J, Ornato JP, Berg RA | title = First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults | journal = JAMA : the Journal of the American Medical Association | volume = 295 | issue = 1 | pages = 50–7 | year = 2006 | month = January | pmid = 16391216 | doi = 10.1001/jama.295.1.50 | url = http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.295.1.50 | issn = | accessdate = 2012-09-16}}</ref> PEA is responsible for 10% of in-hospital deaths.<ref name="pmid831417">{{cite journal | author = Raizes G, Wagner GS, Hackel DB | title = Instantaneous nonarrhythmic cardiac death in acute myocardial infarction | journal = The American Journal of Cardiology | volume = 39 | issue = 1 | pages = 1–6 | year = 1977 | month = January | pmid = 831417 | doi = | url = http://linkinghub.elsevier.com/retrieve/pii/S0002-9149(77)80002-7 | issn = | accessdate = 2012-09-16}}</ref> | |||
=== | * The decrease in the prevalence of [[VF]] and [[VT]] has been accompanied by a parallel relative increase in the incidence of PEA among patients with SCA.<ref name="pmid24297818">{{cite journal| author=Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM et al.| title=Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop. | journal=Circulation | year= 2013 | volume= 128 | issue= 23 | pages= 2532-41 | pmid=24297818 | doi=10.1161/CIRCULATIONAHA.113.004490 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24297818 }} </ref> In fact, following adequate management of [[VF]] and [[VT]], the prevalence of VT/VF has dropped by 20% while the prevalence of PEA increased by 11% between 1979 and 2000.<ref name="pmid21060069">{{cite journal| author=Teodorescu C, Reinier K, Dervan C, Uy-Evanado A, Samara M, Mariani R et al.| title=Factors associated with pulseless electric activity versus ventricular fibrillation: the Oregon sudden unexpected death study. | journal=Circulation | year= 2010 | volume= 122 | issue= 21 | pages= 2116-22 | pmid=21060069 | doi=10.1161/CIRCULATIONAHA.110.966333 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21060069 }} </ref> | ||
=== | * There is a slight female preponderance of PEA. In addition, PEA is associated with increased age and black race.<ref name="pmid8341333">{{cite journal| author=Becker LB, Han BH, Meyer PM, Wright FA, Rhodes KV, Smith DW et al.| title=Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project. | journal=N Engl J Med | year= 1993 | volume= 329 | issue= 9 | pages= 600-6 | pmid=8341333 | doi=10.1056/NEJM199308263290902 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8341333 }} </ref><ref name="pmid9546017">{{cite journal| author=Chu K, Swor R, Jackson R, Domeier R, Sadler E, Basse E et al.| title=Race and survival after out-of-hospital cardiac arrest in a suburban community. | journal=Ann Emerg Med | year= 1998 | volume= 31 | issue= 4 | pages= 478-82 | pmid=9546017 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9546017 }} </ref> | ||
==References== | ==References== |
Latest revision as of 19:42, 14 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karol Gema Hernandez, M.D. [2]
Overview
Over the last three decades, the incidence of PEA has increased in parallel to a decrease in the incidence of VF and VT.[1] There is a slight female preponderance of PEA. In addition, PEA is associated with increased age and black race.[2][3]
Epidemiology and Demographics
- The incidence of SCA ranges between 300,000 to 370,000 cases per year, 50% of which are due to PEA.[1][4]
- PEA accounts for approximately 20% of out-hospital cardiac arrests and for a third of the in-hospital cardiac arrests.[5] PEA is responsible for 10% of in-hospital deaths.[6]
- The decrease in the prevalence of VF and VT has been accompanied by a parallel relative increase in the incidence of PEA among patients with SCA.[1] In fact, following adequate management of VF and VT, the prevalence of VT/VF has dropped by 20% while the prevalence of PEA increased by 11% between 1979 and 2000.[7]
- There is a slight female preponderance of PEA. In addition, PEA is associated with increased age and black race.[2][3]
References
- ↑ 1.0 1.1 1.2 Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM; et al. (2013). "Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop". Circulation. 128 (23): 2532–41. doi:10.1161/CIRCULATIONAHA.113.004490. PMID 24297818.
- ↑ 2.0 2.1 Becker LB, Han BH, Meyer PM, Wright FA, Rhodes KV, Smith DW; et al. (1993). "Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project". N Engl J Med. 329 (9): 600–6. doi:10.1056/NEJM199308263290902. PMID 8341333.
- ↑ 3.0 3.1 Chu K, Swor R, Jackson R, Domeier R, Sadler E, Basse E; et al. (1998). "Race and survival after out-of-hospital cardiac arrest in a suburban community". Ann Emerg Med. 31 (4): 478–82. PMID 9546017.
- ↑ Teodorescu C, Reinier K, Uy-Evanado A, Ayala J, Mariani R, Wittwer L, Gunson K, Jui J, Chugh SS (September 2012). "Survival advantage from ventricular fibrillation and pulseless electrical activity in women compared to men: the Oregon Sudden Unexpected Death Study". J Interv Card Electrophysiol. 34 (3): 219–25. doi:10.1007/s10840-012-9669-2. PMC 3627722. PMID 22406930.
- ↑ Nadkarni VM, Larkin GL, Peberdy MA, Carey SM, Kaye W, Mancini ME, Nichol G, Lane-Truitt T, Potts J, Ornato JP, Berg RA (2006). "First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults". JAMA : the Journal of the American Medical Association. 295 (1): 50–7. doi:10.1001/jama.295.1.50. PMID 16391216. Retrieved 2012-09-16. Unknown parameter
|month=
ignored (help) - ↑ Raizes G, Wagner GS, Hackel DB (1977). "Instantaneous nonarrhythmic cardiac death in acute myocardial infarction". The American Journal of Cardiology. 39 (1): 1–6. PMID 831417. Retrieved 2012-09-16. Unknown parameter
|month=
ignored (help) - ↑ Teodorescu C, Reinier K, Dervan C, Uy-Evanado A, Samara M, Mariani R; et al. (2010). "Factors associated with pulseless electric activity versus ventricular fibrillation: the Oregon sudden unexpected death study". Circulation. 122 (21): 2116–22. doi:10.1161/CIRCULATIONAHA.110.966333. PMID 21060069.