FEATURES OF PROVIDING SPECIALIZED MEDICAL CARE TO PATIENTS WITH OUT-OF-HOSPITAL CIRCULATORY ARREST FOR ACUTE CORONARY SYNDROME
Abstract
The management of patients with ACS during of high-tech care for ongoing cardiopulmonary resuscitation is a complex and ambiguous. Many scientific teams [5, 7, 16] emphasize low survival and high frequency of neurological complications were determined long-term adverse outcomes. The regional vascular center of the Mariinsky Hospital has developed a routing scheme for patients with out of hospital circulatory arrest. 86 patients with out of hospital circulatory arrest and ongoing CPR received at the clinic in 2022 were analyzed. Clinical and hemodynamic data at admission, features of the manifestation of the disease were evaluated. The frequency of operated patients and outcomes were evaluated. The assessment of the course of the postoperative period was performed. According to the inclusion/exclusion criteria, 29 patients were included in the statistical analysis. 37.9% underwent percutaneous intervention. The survival rate among the operated patients was 36.3 and 13.7%. Prolonged ventilation was required in 63% of cases. The frequency of VABC use among operated patients was 27%, ECMO was 28%. The average bed-day was 21 days (1–35 days). Improving the quality and results of treatment of patients with out-of-hospital circulatory arrest is a complex problem. Difficult decision requires not only technical implementation, but also improving routing paths.
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