2018 Volume 9 Issue 2 Special Issue
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Echocardiography Role in Estimating the Prognosis of Successfully Resuscitated Patients Using Wall Motion Characteristics


Saeed Talaee*, Ghafoor Mahdloo, Hasan Safehian, Reza Mosaddegh and Mahdi Rezai
Abstract

Introduction: A Large number of patients undergoing cardiopulmonary resuscitation may eventually have poor prognosis because of the underlying conditions, or the complications of current resuscitation or other regenerative processes. The goal of this study was to find an estimation way of prognosis of these patients. Materials and Methods: The study is performed as case series of the patients who undergone cardiopulmonary resuscitation at Rasoul-e Akram hospital, Firoozgar hospital and Haft-e Tir hospital in Tehran. These patients who had successful resuscitation based on the ROSC criteria, regardless of the duration of cardiopulmonary resuscitation, under gone echocardiography for up to 24 hours after the cessation of cardiopulmonary resuscitation. Wall motion pattern (abnormality) of ventricular septum, E-point septal separation (EPSS), inferior vena cava diameter, portal venous gas and patient survival up to 24 hours after resuscitation is determined. Finally, we asked if there is any statistically significance between the relation of cardiac wall motion abnormality and prognosis of the patients. Results: 50 patients were studied in this study. Of these patients, 28 ones survived, and 22 patients did not survive. These 50 patients have mean age of 55.52 years with standard deviation of 23.53, and 1.5 to 91 years old. Duration of survival for the patients was 2 to 70 minutes, and the mean survival time was 16.74 ± 18.46 min. The mean ejection fraction was 26.74 ± 18.26, ranging from 10 to 70. It is shown that there is no statistically significant relation between echocardiographic findings and the patient survival (P <0.05).  Conclusion: Based on this study considering all aspects, it can be concluded that echocardiographic findings of cardiac wall motion patterns, cannot be used as a prognostic factor of survival of the patients undergone cardiopulmonary resuscitation. Also, according to the results, it does not seem that patients need to be transferred to perform echocardiography after cardiopulmonary resuscitation. However, further studies are recommended in this area.


Issue 2 Volume 17 - 2026