Publications by authors named "Martin Grett"

Introduction: The out-of-hospital cardiac-arrest (OHCA) is one of the leading causes of death. However, although previous studies showed the possibility to transplant organs from resuscitated donors, organ donation following OHCA remains seldom. We therefore initiated this study to investigate the current percentage of organ donation in victims of OHCA in a german university hospital.

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 There is hardly any evidence about the influence of living wills on acute life-threatening disease like out-of-hospital cardiac-arrest (OHCA). We therefore initiated this study to quantify the percentage of victims of OHCA who's living wills are available during post-resuscitation care.  All victims of OHCA who were admitted to our hospital between January 1 2008 and July 31 2016 were identified by analysis of our central admission register.

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Background And Problem: Recently published results of the DANISH study raise concerns, if primary prophylactic ICD implantations in patients with nonischemic cardiomyopathy (NICM) and severe reduced left ventricular ejection fraction (LVEF) should be performed without further risk stratification. There was no significant difference in the overall mortality of patients with or without ICD and CRT defibrillator (CRT-D) or CRT pacemaker (CRT-P), respectively. Clinical risk scores to identify patients with ischemic cardiomyopathy (ICM) who benefit most from an ICD have been recommended.

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Background: Little is known about the incidence and risk factors for progression to pacemaker dependency or the need for cardiac resynchronization in typical patients with an implanted defibrillator with regard to an alternative implantation of a subcutaneous ICD (S-ICD).

Study Design And Methods: After retrospective analysis of 291 patients with first implantation of a transvenous single chamber ICD (VVI-ICD) from 2010-2016 and excluding those with an indication for pacemaker or lack of follow-up data, 121 patients were included and investigated with regard to the following endpoints: need for pacemaker stimulation, upgrade for cardiac resynchronization (CRT), and secondary occurrence and effectiveness of antitachycardia pacing (ATP). We compared the results with those of fundamental S‑ICD studies and tried to determine risk factors on the basis of medical history and pre-implant data.

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Article Synopsis
  • The study investigates the use of vascular closure devices (VCDs) in patients who suffered out-of-hospital cardiac arrest (OHCA) and received mild therapeutic hypothermia (MTH) after immediate coronary angiography.
  • A total of 76 patients were analyzed, with VCDs used in 34.2% of cases; MTH was administered to 63.2% of participants.
  • Results indicated a higher overall rate of vascular complications in the MTH group, but VCD usage did not increase these complications, suggesting VCDs may be safely used in OHCA patients undergoing MTH.
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Article Synopsis
  • The study investigates factors affecting survival after in-hospital cardiac arrest resuscitations, noting that attempts outside regular hours tend to have worse outcomes.
  • Data from 65 resuscitation attempts show that most cases were witnessed, and despite a high return of spontaneous circulation (58.5%), only 23.1% of patients were discharged alive.
  • Key findings indicate that younger patients, those with initial shockable rhythms, shorter resuscitation times, and lower epinephrine doses had significantly better survival rates.
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