Therapeutic hypothermia in patients with acute myocardial infarction complicated by out-of-hospital cardiac arrest

URL: http://clinicaltrials.gov . Unique identifier: NCT05724914. In this large, government-controlled, nationwide, prospective real-world registry with AMI and complicated by OHCA, we demonstrated therapeutic hypothermia reduced the rate of in-hospital mortality, but it did not improve neurological outcomes at discharge. Our findings also showed that early initiation of hypothermia was significantly associated with reduced in-hospital mortality and poor neurological outcomes. The findings of this study suggest that therapeutic hypothermia reduces in-hospital mortality in patients with AMI complicated by OHCA. Early application of hypothermia should be considered as a potential means of improving neurological outcomes in patients with AMI-OHCA undergoing emergency PCI.

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Journal
BMC Medicine
Published
2025-03-26
DOI
https://doi.org/10.1186/s12916-025-03997-0
Primary Topic
Cardiac Arrest and Resuscitation
Type
article
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article

Therapeutic hypothermia in patients with acute myocardial infarction complicated by out-of-hospital cardiac arrest

Eui Im, Yongcheol Kim, Oh‐Hyun Lee, Moon-Hyun Kim et al.
BMC Medicine
Cardiac Arrest and Resuscitation
article

Therapeutic hypothermia in patients with acute myocardial infarction complicated by out-of-hospital cardiac arrest

Eui Im, Yongcheol Kim, Oh‐Hyun Lee, Moon-Hyun Kim, Deok‐Kyu Cho, Je‐Wook Park, In Hyun Jung, SungA Bae, Ji Woong Roh, Seok‐Jae Heo, Minkwan Kim
article en

Abstract

URL: http://clinicaltrials.gov . Unique identifier: NCT05724914. In this large, government-controlled, nationwide, prospective real-world registry with AMI and complicated by OHCA, we demonstrated therapeutic hypothermia reduced the rate of in-hospital mortality, but it did not improve neurological outcomes at discharge. Our findings also showed that early initiation of hypothermia was significantly associated with reduced in-hospital mortality and poor neurological outcomes. The findings of this study suggest that therapeutic hypothermia reduces in-hospital mortality in patients with AMI complicated by OHCA. Early application of hypothermia should be considered as a potential means of improving neurological outcomes in patients with AMI-OHCA undergoing emergency PCI.

BMC MedicineVol. 23(1)
Yonsei University (KR), Severance Hospital (KR)
Good health and well-being
Openalex Percentile: Top 90%
Cardiac Arrest and Resuscitation
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Therapeutic hypothermia in patients with acute myocardial infarction complicated by out-of-hospital cardiac arrest — Eui Im, Yongcheol Kim, et al. · BMC Medicine (2025) | TGRS Research Map | TGRS