Cardiac Arrest within the First 24 Hours after Hospital Admission in ST-segment Elevation Acute Coronary Syndromes. The ARGEN-IAM-ST Registry

Yanina Castillo Costa, Alessis Rafaelli, Víctor Mauro, Adrián Charask, Carlos Tajer, Juan Gagliardi


hospital mortality.Objectives: The aim of this study was to describe the prevalence, clinical characteristics, and in-hospital outcome of patientsfrom the ARGEN-IAM-ST registry with CA within the first 24 hours after hospital admission.Results: The prevalence of CA within the first 24 hours was 7.8% (136/1,754 patients). These patients were older (median age63 vs. 61 years, p<0.001) and had higher prevalence of cardiogenic shock (42.6% vs., 3%, p<0.01) and of in-hospital mortality(66% vs. 4%, p<0.001). Overall mortality of the registry was 8.8% (154/1754) and 58% occurred in patients with CA withinthe first 24 hours after admission.Conclusions: Cardiac arrest within 24 hours in patients with ST- segment elevation acute coronary syndrome is a serious eventrepresenting 60% of in-hospital mortality.


Bui AL, Horwich TB, Fonarow GC. Epidemiology and risk profile of heart failure. Nat Rev Cardiol 2011;8:30-41.

Paulus WJ, van Ballegoij JJ. Treatment of Heart Failure with Normal Ejection Fraction. An Inconvenient Truth! J Am Coll Cardiol 2010;55:526-37.

Yu AF, Ky B. Roadmap for biomarkers of cancer therapy cardiotoxicity. Heart. 2016;102:425-30.

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al; ESC Scientific Document Group. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016;37:2129-200.

Mérillon JP, Ennezat PV, Guiomard A, Masquet-Gourgone C, Aumontd MC, Gourgoneet R. Left ventricular performance is closely related to the physical properties of the arterial system: Landmark clinical investigations in the 1970s and 1980s. Arch Cardiovasc Dis 2014;107:554-62.

Varadarajan P, Sharma S, Heywood T, Pai RG. High prevalence of Clinically Silent Severe Mitral Regurgitation in Patients with Heart Failure: Role for Echocardiography. J Am Soc Echocardiogr 2006;19:1458-61.

Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka P, et al. Recomendaciones para la Cuantificación de las Cavidades: Informe del Comité de Guías y Estándares de la Sociedad Americana de Ecocardiografía y del Grupo Redactor de la Cuantificación de las Cavidades, desarrollado conjuntamente con la Asociación Europea de Ecocardiografía, rama de la Sociedad Europea de Cardiología. J Am Soc Echocardiogr 2005;18:1440-63.

García-Fernández MA, Gómez de Diego JJ. Cuantificación en Ecocardiografía. Momento Médico, Srl. Salerno, Italia, 2011.

Asgar AW, Mack MJ, Stone GW. Secondary Mitral Regurgitation in Heart Failure Pathophysiology, Prognosis and Therapeutic Considerations. J Am Coll Cardiol 2015;65:1231-48.

Zoghbi WA, Adams D, Bonow RO Enriquez-Sarano M, Foster E, Grayburn PA, et al. Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 2017;30:303-71.

Enciso R, Summerson C, Aguilar JA Badui E, Lepe L. Cuantificación de la insuficiencia mitral con el método del flujo convergente proximal por eco Doppler-color. Rev Mex Cardiol 1997;8:52-60.

Gaasch WH, Meyer TE. Left ventricular response to mitral regurgitation. Circulation 2008;118:2298-303.

Villarroel-Ábrego H, Garillo R, González-Suero JC, Nuñez Ayala E. Correlación entre fracción expulsiva del ventrículo izquierdo y strain longitudinal global en pacientes con hipertensión arterial. Insuf Card 2018;13:57-6.

Abd-El-Aziz TA, Abd-El-Fatah HF, Khalil TS, Mansour KS, Abd-El-Hamid AF, Abd-El-Barry KH. Study of the value of Corrected Ejection Fraction in the Evaluation of Left ventricular Function in Patients with Mitral or Aortic Regurgitation. Angiology 51:555-64.

Witkowski TG, Thomas JD, Delgado V, van Rijnsoever E, Ng ACT, Hoke U et al. Changes in Left Ventricular Function After Mitral Valve Repair for Severe Organic Mitral Regurgitation. Ann Thorac Surg 2012; 93:754-60.

Full Text


  • There are currently no refbacks.

Licencia Creative Commons
The documents published in this journal are under the licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.

Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020