Contact Information:

Media Contact

ESC Press office
press@escardio.org

Twitter: escardio

http://www.escardio.org




Kredyty mieszkaniowe Kredyty mieszkaniowe

Sprawdź aktualny ranking najlepszych kredytów mieszkaniowych w Polsce - atrakcyjne kredytowanie nieruchomości.

PRESS-NEWS.org - Press Release Distribution
FREE PRESS RELEASES DISTRIBUTION
RSS - Press News Release
Add Press Release

Efforts to improve AED usage increase bystander defibrillation in public but not at home


2015-08-30
(Press-News.org) London, UK - 30 Aug 2015: Efforts to improve automated external defibrillator (AED) usage increase bystander defibrillation in public places but not at home, reveals a study of more than 25 000 cardiac arrest patients presented at ESC Congress today by Dr Steen Hansen, a PhD student in the Department of Health, Science and Technology at Aalborg University in Denmark.1 Efforts included increased numbers of AEDs, cardiopulmonary resuscitation (CPR) education and a nationwide AED registry.

"An AED promptly used by a person present at the cardiac arrest site before the emergency medical services arrive can have a significant impact on the chances of survival," said Dr Hansen. "Naturally, public AEDs are of no value if they are never actually used during cardiac arrests."

He continued: "In cases of out-of-hospital cardiac arrest, defibrillation by bystanders2 has remained low despite widespread dissemination of AEDs. Usage of AEDs is highly dependent on: AEDs being available near the cardiac arrest site; the nearby AED being easily accessible at the time of cardiac arrest; and bystanders present at the cardiac arrest site being able to locate and use a nearby AED."

Between 2007 and 2012 the number of registered AEDs3 in a nationwide AED registry in Denmark increased from 141 to 7 800. Of these, 17.5% were available near residential areas.This was accompanied by education for Danish citizens on how to perform CPR. In addition, the nationwide AED registry was linked to emergency medical dispatch centres so that bystanders to a cardiac arrest could be told where the nearest AED was.

The current study investigated whether the increase in AEDs and accompanying initiatives resulted in more cardiac arrest patients being defibrillated by bystanders. The study included 25 287 patients who had a first time out-of-hospital cardiac arrest between 2001 and 2012. Of these, 74% occurred at home and 26% occurred in a public location.

The researchers found that the rate of defibrillation by bystanders for patients with out-of-hospital cardiac arrests increased from 1.4% in 2001 to 11.9% in 2012 in public locations. The major increase occurred in the second half of the study period, from 2.1% in 2008 to the 11.9% 2012. During the 12 year period there was no increase in bystander defibrillation of cardiac arrest patients at home and rates remained low at about 1%.

"Although our study design does not allow interpretation of the effect of each national initiative, it is encouraging to see the increase in bystander defibrillation in public locations following the combined initiatives," said Dr Hansen. "However, the study does point to the need for ways to increase bystander defibrillation in residential locations as most out-of-hospital cardiac arrests actually occur at home."

The researchers also found that survival of cardiac arrest patients who had been defibrillated by a bystander increased from below 10% in 2001 to about 55% in 2012 in public locations. In residential locations, survival following bystander defibrillation increased from close to none to about 25% in 2012.

Dr Hansen said: "Survival rates from cardiac arrest after bystander defibrillation can be as high in general public locations as it is in selected locations, such as airports and casinos, where AEDs are easily accessible. However, our study shows that bystander defibrillation does not guarantee high survival as it was low at the beginning of the study."

He concluded: "Many factors are important for increasing survival even when the patient has been defibrillated by bystanders including bystander CPR, improved pre-hospital organisation, and advanced care in hospitals. Continuing efforts are needed to improve bystander defibrillation and increase survival."

INFORMATION:


ELSE PRESS RELEASES FROM THIS DATE:

Bystander CPR linked to lower nursing home admission and brain damage after cardiac arrest

2015-08-30
London, UK - 30 Aug 2015: Bystander cardiopulmonary resuscitation (CPR) has been linked to a 30% lower risk of nursing home admission and brain damage in survivors of cardiac arrest outside hospital in research presented at ESC Congress today by Dr Kristian Kragholm, a PhD student in the Department of Anesthesiology, Cardiovascular Research Centre, Aalborg University Hospital, Denmark.1 "We know that survival after out-of-hospital cardiac arrest has improved in recent years but until now the degree of disability in survivors was unknown," said Dr Kraghom. "Our study examined ...

Ezetimibe reduces cardiovascular events in diabetics with recent acute coronary syndrome

2015-08-30
London, UK - 30 Aug 2015: Ezetimibe reduces cardiovascular events in patients with diabetes and a recent acute coronary syndrome, according to a subgroup analysis of the IMPROVE-IT trial presented at ESC Congress today by co-principal investigator Dr Robert Giugliano, physician in cardiovascular medicine at Brigham and Women's Hospital in Boston, US.1 Ezetimibe achieved greater reductions in LDL cholesterol than statins alone, resulting in lower risks of cardiovascular events in patients with diabetes. The benefits observed in diabetics were greater than in those without ...

Air pollution associated with increased heart attack risk despite 'safe' levels

2015-08-30
London, UK - 30 Aug 2015: Particulate matter and NO2 air pollution are associated with increased risk of severe heart attacks despite being within European recommended levels, according to research presented at ESC Congress today by Dr Jean-Francois Argacha, a cardiologist at University Hospital Brussels (UZ Brussel-Vrije Universiteit Brussel), in Belgium.1 "Dramatic health consequences of air pollution were first described in Belgium in 1930 after the Meuse Valley fog," said Dr Argacha. "Nowadays, the World Health Organization (WHO) considers air pollution as one of ...

Young adults living in polluted city show early signs of cardiovascular risk

2015-08-30
London, UK - 30 Aug 2015: Young adults living in a polluted city show early signs of cardiovascular risk, according to research presented at ESC Congress today by Dr Krzysztof Bryniarski from Jagiellonian University, Collegium Medicum in Krakow, Poland.1 Residing in a polluted city was associated with higher levels of inflammatory markers in otherwise healthy adolescents and young adults, which indicate a greater risk of having a heart attack in future. Dr Bryniarski said: "This study was conducted by a group of medical students from Jagiellonian University in Krakow, ...

Cold weather associated with higher risk of severe heart attack

2015-08-30
London, UK - 30 Aug 2015: Cold weather is associated with a higher risk of severe heart attack, according to research presented at ESC Congress today by Dr Shuangbo Liu, adult cardiology resident at the University of Manitoba in Winnipeg, Canada.1 The six year study found that each 10°C drop in temperature was associated with a 7% increased risk of ST-elevation myocardial infarction (STEMI), the most severe form of heart attack. "We studied the effects of temperature on the risk of heart attacks in Winnipeg, Canada, one of the coldest large cities in the world," said ...

CPR for out-of-hospital cardiac arrest should be conducted for at least 35 minutes

2015-08-30
London, UK - 30 Aug 2015: Cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest should be conducted for at least 35 minutes, according to research presented at ESC Congress today by Dr Yoshikazu Goto, associate professor and director of the Department of Emergency and Critical Care Medicine at Kanazawa University Hospital in Kanazawa, Japan.1 The study in more than 17 000 patients found that nearly all survivals were achieved within 35 minutes and longer CPR achieved little benefit. Dr Goto said: "The decision regarding when to stop resuscitation efforts ...

Cold weather linked to increased stroke risk in atrial fibrillation patients

2015-08-30
London, UK - 30 Aug 2015: Cold weather is associated with increased risk of ischaemic stroke in patients with atrial fibrillation, according to research presented at ESC Congress today by Dr Tze-Fan Chao, cardiologist at Taipei Veterans General Hospital and the National Yang-Ming University in Taiwan.1 The study in nearly 290 000 patients suggests that cool climate may be an underrated issue for health that deserves more attention. "Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and it increases the risk of ischaemic stroke by four- to five-fold," ...

Treating left atrial appendage could dampen long standing persistent AF

2015-08-30
LONDON, UK - In patients with long-standing persistent atrial fibrillation (AF) despite standard treatment, additional electrical isolation of an area called the left atrial appendage (LAA) can improve freedom from AF without increasing complications, results of the BELIEF study show. The findings were presented today in a Hot Line session at ESC Congress 2015. "Empirical left atrial appendage isolation, along with the standard approach of pulmonary vein isolation (PVI) and ablation of extra-pulmonary triggers is superior to the standard approach alone in enhancing the ...

Patient education does not impact apixaban adherence

2015-08-30
LONDON, UK - Adherence to the oral anticoagulant apixaban among patients with atrial fibrillation (AF) was no better for those who received an educational program compared to those who did not, results of the international, randomised AEGEAN trial show. The results, presented today at ESC Congress 2015, were nevertheless "quite encouraging," according to lead investigator Gilles Montalescot, MD, PhD, from the Institut de Cardiologie, Centre Hospitalier Universitaire Pitié-Salpêtri?re, in Paris, France. "We used the best possible tools for the educational program, ...

Adenosine triphosphate does not improve efficacy of pulmonary vein isolation

2015-08-30
LONDON, UK - Late recurrence of atrial fibrillation (AF) is not reduced in patients whose pulmonary vein isolation (PVI) treatment incorporates the addition of adenosine triphosphate (ATP), according to results of the UNDER-ATP trial. Results of the trial, presented at ESC Congress 2015, add to the ongoing debate about ATP use in this setting. The major cause of AF recurrence after PVI has been reported to be electrical reconnection between the left atrium and pulmonary veins, which re-establishes abnormal rhythm, said study investigator Atsushi Kobori, MD, from Kobe ...

LAST 30 PRESS RELEASES:

How your brain decides blame and punishment -- and how it can be changed

Uniquely human brain region enables punishment decisions

Pinpointing punishment

Chapman University publishes research on attractiveness and mating

E-cigarettes: Special issue from Nicotine & Tobacco Research

Placental problems in early pregnancy associated with 5-fold increased risk of OB & fetal disorders

UT study: Invasive brood parasites a threat to native bird species

Criminals acquire guns through social connections

Restoring ocean health

Report: Cancer remains leading cause of death in US Hispanics

Twin study suggests genetic factors contribute to insomnia in adults

To be fragrant or not: Why do some male hairstreak butterflies lack scent organs?

International team discovers natural defense against HIV

Bolivian biodiversity observatory takes its first steps

Choice of college major influences lifetime earnings more than simply getting a degree

Dominant strain of drug-resistant MRSA decreases in hospitals, but persists in community

Synthetic biology needs robust safety mechanisms before real world application

US defense agencies increase investment in federal synthetic biology research

Robots help to map England's only deep-water Marine Conservation Zone

Mayo researchers identify protein -- may predict who will respond to PD-1 immunotherapy for melanoma

How much water do US fracking operations really use?

New approach to mammograms could improve reliability

The influence of citizen science grows despite some resistance

Unlocking secrets of how fossils form

What happens on the molecular level when smog gets into the lungs?

Using ultrasound to clean medical instruments

Platinum and iron oxide working together get the job done

Tiny silica particles could be used to repair damaged teeth, research shows

A quantum lab for everyone

No way? Charity's logo may influence perception of food in package

[Press-News.org] Efforts to improve AED usage increase bystander defibrillation in public but not at home
Press-News.org is a service of DragonFly Company. All Rights Reserved.
Issuers of news releases are solely responsible for the accuracy of their content.