Abstract | BACKGROUND: METHODS: This was a retrospective forensic autopsy cohort study conducted in a single institution after resuscitation. Pathologists recorded autopsy data using standardized protocol contained information from external and internal examination of the body. RESULTS: Thirty-eight autopsy reports (21 males and 17 females), post- CPR-failure were studied. Heart lesions were reported in 19 patients (group A). The average age was 65.7 years (69.05 group A and 66.5 group B). Median weight was 75.2 Kg and was significantly higher in group B (p = 0.01). Pericardial lesions were identified in 6 patients in group A and 2 in group B (p = 0.2 ns). No significant difference was observed among the two groups (Table 4) with the exception of the average number of rib fractures which was higher in group A (p = 0.04). Autopsy findings revealed heart injuries in 50% of patients with a high prevalence (52.6%) of left ventricle injuries. CONCLUSION: Cardiac lesions represent frequent and serious complications of unsuccessful CPR. Correct performance of chest compressions according to guidelines is the best way to avoid these complications.
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Authors | Paolo Girotti, Antonia Rizzuto, Vincenzo Orsini, Vebi Hodja, Ingmar Koenigsrainer |
Journal | Reviews in cardiovascular medicine
(Rev Cardiovasc Med)
Vol. 23
Issue 2
Pg. 61
(Feb 14 2022)
ISSN: 1530-6550 [Print] Singapore |
PMID | 35229552
(Publication Type: Journal Article)
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Copyright | © 2022 The Author(s). Published by IMR Press. |
Topics |
- Aged
- Cardiopulmonary Resuscitation
(adverse effects)
- Cohort Studies
- Female
- Heart Injuries
(diagnosis, epidemiology, etiology)
- Humans
- Male
- Retrospective Studies
- Rib Fractures
(diagnosis, epidemiology, etiology)
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