Year : 2021 | Volume
: 22 | Issue : 1 | Page : 3--7
Out-of-Hospital cardiac arrest in the young: A 23-year middle Eastern experience
Bassim Albizreh, Abdulrahman Arabi, Jassim Al Suwaidi, Ashfaq Patel, Rajvir Singh, Hajar Albinali
Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar
Background: Worldwide, limited data are available about young patients (≤40 years) who present with out-of-hospital cardiac arrest (OHCA). We compared demographic characteristics, clinical presentation, and outcome in younger patients (≤40 years) versus older patients (>40 years) with OHCA.
Materials and Methods: This was a retrospective analysis of a registry of patients hospitalized with OHCA over a 23-year period (1991–2013) in Hamad Medical Corporation, Doha, Qatar.
Results: Of 1146 patients admitted to our institution with OHCA, 159 patients (13.9%) were 40 years of age or younger. Compared to the older group (>40 years), younger group patients were more likely to be males (84.9% vs. 71.5%; P= 0.001) and to be smokers (27.7% vs. 19.7%; P= 0.012). They are less likely to have diabetes (6.3% vs. 49.2%; P= 0.001), hypertension (8.3% vs. 49.9%; P= 0.001), prior myocardial infarction (3.1% vs. 23.4%; P= 0.001), or chronic renal disease (0% vs. 8.5%; P= 0.001). There was no significant difference in ejection fraction, ST-elevation myocardial infarction (13.2% vs. 15.7%; P= 0.41), utilization of inotropes (36.5% vs. 44%; P= 0.08), or utilization of reperfusion therapy (thrombolytic: 16.4% vs. 12.2%, P= 0.14, and percutaneous intervention: 6.3% vs. 5.3%, P= 0.60, for the younger and older groups, respectively); on the other hand, younger patients were more likely to receive antiarrhythmic medications (33.3% vs. 21.2%; P= 0.001). Inhospital mortality was lower in the younger group (52.1% vs. 68.3%; P= 0.001) even after adjustment for baseline variables.
Conclusion: In the Middle East it is not uncommon to present with OHCA in young age. These patients are predominantly males, more likely to present with arrhythmia and they have a better survival rate.
Dr. Bassim Albizreh
Department of Cardiology, Hamad Medical Corporation Heart Hospital, Pobox 30420, Doha
|How to cite this article:|
Albizreh B, Arabi A, Al Suwaidi J, Patel A, Singh R, Albinali H. Out-of-Hospital cardiac arrest in the young: A 23-year middle Eastern experience.Heart Views 2021;22:3-7
|How to cite this URL:|
Albizreh B, Arabi A, Al Suwaidi J, Patel A, Singh R, Albinali H. Out-of-Hospital cardiac arrest in the young: A 23-year middle Eastern experience. Heart Views [serial online] 2021 [cited 2021 Jun 13 ];22:3-7
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2021;volume=22;issue=1;spage=3;epage=7;aulast=Albizreh;type=0