82,734 results match your criteria cardiac arrest


Utilization and cost-effectiveness of school and community center AED deployment models in Canadian cities.

Resuscitation 2022 Jan 11. Epub 2022 Jan 11.

Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; Assistance Publique - Hôpitaux de Paris (AP-HP), Emergency department, Hôpitaux universitaires Henri Mondor, Créteil, France; Department of Emergency Medicine, St Paul's Hospital and the University of British Columbia, Vancouver, BC, Canada; Copenhagen University Hospital - Copenhagen Emergency Medical Services, Denmark.

Background: The optimal locations and cost-effectiveness of placing automated external defibrillators(AEDs) for out-of-hospital cardiac arrest(OHCAs) in urban residential neighbourhoods are unclear.

Methods: We used prospectively collected data from 2016 to 2018 from the British Columbia OHCA Registry to examine the utilization and cost-effectiveness of hypothetical AED deployment in municipalities with a population of over 100 000. We geo-plotted OHCA events using seven hypothetical deployment models where AEDs were placed at the exteriors of public schools and community centers and fetched by bystanders. Read More

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January 2022

Cardiorenal Function and Survival in In-Hospital Cardiac Arrest: A Nationwide Study of 22,819 Cases.

Resuscitation 2022 Jan 11. Epub 2022 Jan 11.

University of Gothenburg, Institute of Medicine, Department of Molecular and Clinical Medicine, Gothenburg, Sweden; The Swedish Cardiopulmonary Resuscitation Registry, Centre of Registries, Gothenburg, Sweden; The Sahlgrenska University Hospital, Gothenburg, Sweden.

Background: We studied the association between cardiorenal function and survival, neurological outcome and trends in survival after in-hospital cardiac arrest (IHCA).

Methods: We included cases aged ≥18 years in the Swedish Cardiopulmonary Resuscitation Registry during 2008 to 2020. The CKD-EPI equation was used to calculate estimated glomerular filtration rate (eGFR). Read More

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January 2022

(Cast2021) Oxygenated Hypothermic Machine Perfusion of Kidney Transplantation from Donors After Cardiac Death Due to Long-Term Low Blood Pressure and Hypoxia: The First Case Report of a Clinical Trial Using a New Japanese Perfusion System.

Transplant Proc 2022 Jan 11. Epub 2022 Jan 11.

Department of Hepato-Biliary Pancreatic/Transplantation Surgery, Asahikawa Medical University, Hokkaido, Japan.

Background: Machine perfusion of marginal kidney grafts obtained from donors after cardiac death (DCD) has become a standard therapy worldwide. However, the use of grafts from DCD due to long-term low blood pressure is associated with a high incidence of primary graft nonfunction. Furthermore, the importance of oxygenation in machine perfusion remains unclear. Read More

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January 2022

Rapid Treatment with Intramuscular Magnesium Sulfate During Cardiopulmonary Resuscitation Does Not Provide Neuroprotection Following Cardiac Arrest.

Mol Neurobiol 2022 Jan 14. Epub 2022 Jan 14.

Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, 48109, USA.

Brain injury is the most common cause of death for patients resuscitated from cardiac arrest. Magnesium is an attractive neuroprotective compound which protects neurons from ischemic injury by reducing neuronal calcium overload via NMDA receptor modulation and preventing calcium-induced mitochondrial permeability transition. Intramuscular (IM) delivery of MgSO during CPR has the potential to target these mechanisms within an early therapeutic window. Read More

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January 2022

Outcomes of Trauma Victims with Cardiac Arrest Who Survived to Intensive Care Unit Admission in a Level 1 Apex Indian Trauma Centre: A Retrospective Cohort Study.

Indian J Crit Care Med 2021 Dec;25(12):1408-1412

Department of Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India.

Background And Aims: The prognosis of patients with cardiac arrest following trauma is poor. Our objectives were: (1) to determine outcomes of patients following in-hospital cardiac arrest posttrauma and admitted to the intensive care unit (ICU) and (2) to identify characteristics associated with in-hospital mortality.

Materials And Methods: This was a single-center retrospective analysis of patients admitted to ICU after resuscitation following in-hospital cardiac arrest between January 2017 and July 2018. Read More

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December 2021

User interface approaches implemented with automated patient deterioration surveillance tools: protocol for a scoping review.

BMJ Open 2022 Jan 13;12(1):e055525. Epub 2022 Jan 13.

College of Pharmacy, Idaho State University, Pocatello, Idaho, USA

Introduction: Early identification of patients who may suffer from unexpected adverse events (eg, sepsis, sudden cardiac arrest) gives bedside staff valuable lead time to care for these patients appropriately. Consequently, many machine learning algorithms have been developed to predict adverse events. However, little research focuses on how these systems are implemented and how system design impacts clinicians' decisions or patient outcomes. Read More

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January 2022

A 6-Year Thematic Review of Reported Incidents Associated With Cardiopulmonary Resuscitation Calls in a United Kingdom Hospital.

J Patient Saf 2022 Jan 12. Epub 2022 Jan 12.

From the University of Nottingham Nottingham University Hospitals, Nottingham, United Kingdom University of Alberta Hospital, Edmonton, Canada.

Background: Critical incident reporting can be applied to cardiopulmonary resuscitation (CPR) events as a means of reducing further occurrences. We hypothesized that local CPR-related events might follow patterns only seen after a long period of analysis.

Design: We reviewed 6 years of local incidents associated with cardiac arrest calls. Read More

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January 2022

Cardiac arrest following unsuspected self-poisoning with doxylamine.

Ther Drug Monit 2022 Jan 11. Epub 2022 Jan 11.

Clinical Toxicology Unit, Clinical Analysis Department. Hospital Universitari Son Llàtzer. Research Institute of Health Sciences (IdISBa). Palma de Mallorca, Spain. Intensive Care Department. Hospital Universitari Son Llàtzer. Research Institute of Health Sciences (IdISBa). Palma de Mallorca, Spain. Intensive Care Department. Hospital Universitari Son Llàtzer. Research Institute of Health Sciences (IdISBa). Palma de Mallorca, Spain. Intensive Care Department. Hospital Universitari Son Llàtzer. Research Institute of Health Sciences (IdISBa). Palma de Mallorca, Spain. Cardiology Department. Hospital Universitari Son Llàtzer. Department of Medicine, Faculty of Medicine, University of the Balearic Islands. Research Institute of Health Sciences (IdISBa). Palma de Mallorca, Spain. Institute of Legal Medicine of the Balearic Islands. Ministry of Justice. Department of Medicine, Faculty of Medicine, University of the Balearic Islands. Palma de Mallorca, Spain. Institute of Legal Medicine of the Balearic Islands. Ministry of Justice. Department of Medicine, Faculty of Medicine, University of the Balearic Islands. Palma de Mallorca, Spain.

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January 2022

Unusual presentation of supraventricular tachycardia degenerating into ventricular fibrillation during pregnancy: Aortocaval compression the probable culprit.

Indian Pacing Electrophysiol J 2022 Jan 10. Epub 2022 Jan 10.

Department of Cardiology, St George Hospital, Sydney, NSW 2217, Australia.

Cardiac arrhythmias are common and often benign in pregnancy. However, haemodynamic instability can occur when tachyarrhythmias are accompanied by aortocaval compression, which can lead to loss of cardiac output. We present an atypical case of a pregnant woman with a supraventricular tachyarrhythmia, which degenerated into ventricular fibrillation arrest while supine due to aortocaval compression. Read More

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January 2022

Delayed head CT in out-of-hospital cardiac arrest survivors: Does this improve predictive performance of neurological outcome?

Resuscitation 2022 Jan 10. Epub 2022 Jan 10.

Department of Emergency Medicine, Chonnam national University Medical School, Chonnam National Univesity Hospital, Gwangju, Republic of Korea.

Background: We compared the ability of head computed tomography (HCT) and MRI, respectively, obtained before or after target temperature management to predict neurologic outcomes in out-of-hospital cardiac arrest (OHCA) survivors.

Methods: This retrospective study included adult comatose OHCA survivors who underwent neuroimaging scans within 6 h (first HCT) or 72-96 h (second HCT and MRI) after the return of spontaneous circulation (ROSC). We calculated the gray-white matter ratio (GWR), hypoxic-ischemic brain injury presence (loss of boundary at the basal ganglia level [LOB at BG], sulcal effacement at the centrum semiovale [SE at CS], and pseudo-SAH sign), and the overall score based on MRI findings (a total score of 21 brain regions individually scored according to the degree of signal abnormality). Read More

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January 2022

Minimizing Device-Device Interactions Using Bipolar Pacemaker Leads in a Pediatric Patient.

Pediatr Cardiol 2022 Jan 13. Epub 2022 Jan 13.

The Congenital Heart Collaborative, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, MS 6011, Cleveland, OH, 44106, USA.

Phrenic nerve injury can lead to a disruption of the autonomic nervous system (ANS) resulting in episodes of bradycardic arrest. Implanted diaphragmatic pacing has been used to overcome phrenic nerve paralysis, but these do not change the ANS. Therefore, patients with phrenic nerve paralysis may require the implantation of a permanent cardiac pacemaker to overcome bradycardic episodes. Read More

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January 2022

The effect of the GoodSAM volunteer first-responder app on survival to hospital discharge following out-of-hospital cardiac arrest.

Eur Heart J Acute Cardiovasc Care 2022 Jan;11(1):20-31

Warwick Clinical Trials Unit, University of Warwick, Gibbet Hill Road, Coventry CV4 7AL, UK.

Aims: Bystander cardiopulmonary resuscitation and defibrillation can double survival to hospital discharge in out-of-hospital cardiac arrest. Mobile phone applications, such as GoodSAM, alerting nearby volunteer first-responders about out-of-hospital cardiac arrest could potentially improve bystander cardiopulmonary resuscitation and defibrillation, leading to better patient outcomes. The aim of this study was to determine GoodSAM's effect on survival to hospital discharge following out-of-hospital cardiac arrest. Read More

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January 2022

Incidence of postoperative, major, adverse cardiac events in patients undergoing carotid endarterectomy: A single-center, retrospective study.

SAGE Open Med 2022 8;10:20503121211070367. Epub 2022 Jan 8.

Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: This study aimed to determine the incidence of postoperative major adverse cardiac events for patients undergoing carotid endarterectomy.

Methods: This single-center, retrospective study recruited 171 carotid endarterectomy patients between January 1999 and June 2018. Patients who received a carotid endarterectomy in conjunction with other surgery were excluded. Read More

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January 2022

Out-of-hospital cardiac arrest due to acute myocardial infarction possibly caused by coronary vasospasm.

J Cardiol Cases 2022 Jan 24;25(1):10-13. Epub 2021 Jun 24.

Cardiovascular Division, National Hospital Organization Osaka National Hospital, Osaka, Japan.

A 60-year-old man with out-of-hospital cardiac arrest was transported to our hospital by an emergency medical service. Ventricular fibrillation was finally terminated after the initiation of circulation support by percutaneous cardiopulmonary support device. Although acute myocardial infarction was suspected, emergency coronary angiography could not identify the culprit lesion of myocardial infarction while there were multiple intermediate stenotic lesions. Read More

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January 2022

Handling of derived imbalanced dataset using XGBoost for identification of pulmonary embolism-a non-cardiac cause of cardiac arrest.

Med Biol Eng Comput 2022 Jan 13. Epub 2022 Jan 13.

RIMT University, Mandi Gobindgarh, India.

Relationship between pulmonary embolism and heart failure is presented in this paper. The proposed research is divided into two phases. The first phase includes the establishment of a novel database with the help of a Cleveland's database for cardiology in order to establish a link between pulmonary embolism and heart failure. Read More

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January 2022

Evaluation of initial shockable rhythm as an indicator of short no-flow time in cardiac arrest: a national registry study.

Emerg Med J 2022 Jan 12. Epub 2022 Jan 12.

Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.

Background: The duration from collapse to initiation of cardiopulmonary resuscitation (no-flow time) is one of the most important determinants of outcomes after out-of-hospital cardiac arrest (OHCA). Initial shockable cardiac rhythm (ventricular fibrillation or ventricular tachycardia) is reported to be a marker of short no-flow time; however, there is conflicting evidence regarding the impact of initial shockable cardiac rhythm on treatment decisions. We investigated the association between initial shockable cardiac rhythm and the no-flow time and evaluated whether initial shockable cardiac rhythm can be a marker of short no-flow time in patients with OHCA. Read More

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January 2022

Case Report: Fatal Intoxication by the Novel Cathinone 4-fluoro-3-methyl-α-PVP.

J Anal Toxicol 2022 Jan 11. Epub 2022 Jan 11.

Franklin County Coroner's Office, Franklin County Forensics Science Center, 2090 Frank Road, Columbus, Ohio 43223, USA.

A 30-year-old non-hispanic white male was found unresponsive at his workplace and admitted to the hospital in cardiac arrest. He was pronounced deceased shortly after arrival. At autopsy the pathologist noted a 176-pound, well-nourished, atraumatic, adult male with significant bilateral frothy pulmonary edema (right lung 930g and left lung 1130g), cardiomegaly (430g), dilated ventricles, and slight cerebral edema. Read More

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January 2022

Current and investigational therapies for the treatment of refractory ventricular fibrillation.

Am J Health Syst Pharm 2022 Jan 10. Epub 2022 Jan 10.

Emergency Medicine Program, Florida State University, Sarasota Memorial Hospital, Sarasota, FL, andSarasota County Fire Department, Sarasota, FL, USA.

Disclaimer: In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Read More

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January 2022

Critical Care Unit Organizational and Personnel Factors Impact Cardiac Arrest Prevention and Rescue in the Pediatric Cardiac Population.

Pediatr Crit Care Med 2022 Jan 12. Epub 2022 Jan 12.

Division of Critical Care Medicine, Texas Children's Hospital, Baylor College of Medicine, Houston, TX. Division of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX. Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI. PC 4 Data Coordinating Center, Michigan Congenital Heart Outcomes Research and Discovery Unit, University of Michigan, Ann Arbor, MI. Primary Children's, Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT. Department of Cardiology, Nicklaus Children's Hospital, Miami, FL. Division of Pediatric Critical Care, Children's Wisconsin, Milwaukee, WI. Cardiac Critical Care, Department of Pediatrics, Medical City Children's Hospital, Dallas, TX. Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI. Monroe Carell Jr Children's Hospital at Vanderbilt, Divisions of Cardiology and Critical Care Medicine, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN. Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Objectives: Patient-level factors related to cardiac arrest in the pediatric cardiac population are well understood but may be unmodifiable. The impact of cardiac ICU organizational and personnel factors on cardiac arrest rates and outcomes remains unknown. We sought to better understand the association between these potentially modifiable organizational and personnel factors on cardiac arrest prevention and rescue. Read More

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January 2022

Sugammadex Versus Neostigmine for Reversal of Residual Neuromuscular Blocks After Surgery: A Retrospective Cohort Analysis of Postoperative Side Effects.

Anesth Analg 2022 Jan 12. Epub 2022 Jan 12.

From the Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Sugammadex and neostigmine given to reverse residual neuromuscular blockade can cause side effects including bradycardia, anaphylaxis, bronchospasm, and even cardiac arrest. We tested the hypothesis that sugammadex is noninferior to neostigmine on a composite of clinically meaningful side effects, or vice versa.

Methods: We analyzed medical records of patients who had general, cardiothoracic, or pediatric surgery and were given neostigmine or sugammadex from June 2016 to December 2019. Read More

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January 2022

Acoustic pulse thrombolysis complemented by ECMO improved survival in patients with high-risk pulmonary embolism.

J Card Surg 2022 Jan 12. Epub 2022 Jan 12.

Department of Cardiovascular Surgery, Florence Nightingale Hospital, Istanbul, Turkey.

Background: The optimal treatment of high-risk pulmonary embolism (PE) with cardiac arrest is still controversial although various treatment approaches have been developed and improved. Here, we present a serie of patients with high-risk PE showing hemodynamic collapse, who were successfully treated with extracorporeal membrane oxygenation (ECMO) as an adjunct to EKOS™ acoustic pulse thrombolysis (APT).

Methods: From April 2016 to June 2020, 29 patients with high-risk PE with cardiac arrest were retrospectively included. Read More

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January 2022

Low Inadequate Oxygen Delivery Index is Associated with Decreased Cardiac Arrest Risk in High-Risk Pediatric ICU Patients.

Crit Care Explor 2022 Jan 5;4(1):e0600. Epub 2022 Jan 5.

Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH.

Objectives: To evaluate the Inadequate Oxygen Delivery Index (IDO) in the PICU to identify patients labeled as high risk by clinician concern who will not experience a cardiac arrest.

Design Setting And Participants: Prospective observational cohort study in a single PICU from February 1, 2017, to May 20, 2020. All mean calculated IDO was collected for patients in 12-hour increments. Read More

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January 2022

Magnetic Resonance Spectroscopy of Hypoxic-Ischemic Encephalopathy After Cardiac Arrest.

Neurology 2022 Jan 11. Epub 2022 Jan 11.

Department of Radiology, Brigham and Women's Hospital, Boston, MA

Objective: To correlate brain metabolites to clinical outcome using magnetic resonance spectroscopy (MRS) in patients undergoing targeted temperature management (TTM) after cardiac arrest, and assess their relationships to MRI and EEG variables.

Methods: A prospective cohort of 50 patients was studied. The primary outcome was coma recovery to follow commands. Read More

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January 2022

Regional Distribution of Brain Injury After Cardiac Arrest: Clinical and Electrographic Correlates.

Neurology 2022 Jan 11. Epub 2022 Jan 11.

Division of Epilepsy, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Background And Objectives: Disorders of consciousness, EEG background suppression and epileptic seizures are associated with poor outcome after cardiac arrest. Our objective was to identify the distribution of diffusion MRI-measured anoxic brain injury after cardiac arrest and to define the regional correlates of disorders of consciousness, EEG background suppression, and seizures.

Methods: We analyzed patients from a single-center database of unresponsive patients who underwent diffusion MRI following cardiac arrest (=204). Read More

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January 2022

Physicians' cognitive approach to prognostication after cardiac arrest.

Resuscitation 2022 Jan 8. Epub 2022 Jan 8.

Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Objective: Elucidate how physicians formulate a neurological prognosis after cardiac arrest and compare differences between experts and general providers.

Methods: We performed semi-structured interviews with experts in post-arrest care and general physicians. We created an initial model and interview guide based on professional society guidelines. Read More

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January 2022

One-year Outcome after Percutaneous Coronary Intervention in Nonagenarians: Insights from the J-PCI OUTCOME Registry.

Am Heart J 2022 Jan 8. Epub 2022 Jan 8.

Department of Cardiovascular Medicine, Tokai University, Isehara, Japan.

Background: Nonagenarian patients who undergo percutaneous coronary intervention (PCI) are increasing, and a few previous studies have reported their long-term outcomes. However, differences in their long-term outcomes between generations remain unclear. This study aimed to investigate one-year all-cause and cardiovascular (CV) mortality, and major adverse cardiovascular events (MACE; cardiovascular death, myocardial infarction, and stroke) of nonagenarian patients who underwent PCI compared with the other elder patients, using a nationwide registration system. Read More

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January 2022

Promoting an Emergency Action Plan for Sudden Cardiac Arrest in Youth Sports During a Pandemic.

J Pediatr Health Care 2022 Jan 8. Epub 2022 Jan 8.

Introduction: Pandemic-related restrictions increased the risk of delayed emergency response of bystanders to sudden cardiac arrest among youth athletes. Education and SCA emergency preparedness, implemented by nurse leaders and adapted to environmental changes, can greatly reduce the risks associated with an SCA episode.

Method: A nurse-led, quality improvement pilot project was implemented in a recreational youth soccer league. Read More

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January 2022

Preoperative Dexmedetomidine and intraoperative bradycardia in laparoscopic cholecystectomy: meta-analysis with trial sequential analysis.

Korean J Anesthesiol 2022 Jan 12. Epub 2022 Jan 12.

Institute of Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.

Background: Laparoscopic surgical procedures have various advantages over traditional open techniques, however, the artificial pneumoperitoneum is associated with severe bradycardia and also with cardiac arrest. Dexmedetomidine is an imidazole derivative that highly selectively binds to α2-receptors. It has sedative and analgesic properties, however it could cause hypotension and bradycardia. Read More

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January 2022

European Society of Cardiology: cardiovascular disease statistics 2021.

Eur Heart J 2022 Jan 7. Epub 2022 Jan 7.

Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Aims: This report from the European Society of Cardiology (ESC) Atlas Project updates and expands upon the widely cited 2019 report in presenting cardiovascular disease (CVD) statistics for the 57 ESC member countries.

Methods And Results: Statistics pertaining to 2019, or the latest available year, are presented. Data sources include the World Health Organization, the Institute for Health Metrics and Evaluation, the World Bank, and novel ESC sponsored data on human and capital infrastructure and cardiovascular healthcare delivery. Read More

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January 2022