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ACC Treatment Initiative Improves International STEMI Care

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One by One, Risk Factors Have Additive Impact on Cardiac Arrest Survival

January 25, 2021 For patients successfully resuscitated after cardiac arrest, it’s possible to predict their odds of survival by counting how many risk factors are present, data from the International Cardiac Arrest Registry (INTCAR) confirm. Thanks to more-aggressive care, such as targeted temperature management (TTM) and coronary angiography/intervention, survival to hospital discharge for these patients has risen from around 25% to 50% in recent years, researchers say. Still, the burden of “multiple unfavorable features,” as worded in a 2015 algorithm from the American College of Cardiology (ACC) Interventional Council, can portend worse outcomes even in the face of this advanced treatment. Exactly how many risk factors mattered, and to what extent, hadn’t previously been pinpointed.

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