Trial evaluates new protocol for cardiac arrest with VF, VT
University of Minnesota Health Heart Care hospitals in Edina and Minneapolis are now enrolling patients in a clinical trial evaluating the efficacy of direct transport to the cardiac catheterization laboratory following sudden cardiac arrest with ventricular fibrillation (VF) or ventricular tachycardia (VT) after resuscitation. In the ACCESS trial (NCT03119571), researchers will determine if these patients do better with immediate screening and treatment in the cath lab or with monitoring in intensive care, per current treatment standard. Sudden cardiac arrest patients with VF or VT have a high rate of ischemic heart disease, and researchers are exploring whether rapid treatment of underlying causes can improve survival with good brain function. The trial is enrolling 864 patients successfully resuscitated from sudden cardiac arrest with shockable rhythm. Demetris Yannopoulos, MD, serves as investigator. For information, contact email@example.com.
Clinical trial testing care model for refractory sudden cardiac arrest
A second clinical trial exploring the benefit of cardiac catheterization lab (CCL) interventions for sudden cardiac arrest patients who do not respond to initial emergency treatment and CPR is nearing final approvals. The planned ARREST trial will test survival and brain function in sudden cardiac arrest patients who are routed past the emergency room and directly to the CCL for advanced treatment. Researchers will test whether these patients with a high rate of coronary disease can benefit from early interventions. The trial is planned for the summer of 2018.
Super ambulances to speed care for cardiac arrest patients
New ambulances equipped with advanced screening and life-support technologies aim to improve outcomes for patients with sudden cardiac arrest. The ambulances will provide extracorporeal membrane oxygenation and X-ray capabilities. The new equipment and design are intended to stabilize cardiac arrest patients more quickly during transport to a hospital equipped with a CCL and are hoped to particularly assist patients who live far from hospitals capable of delivering advanced care. Researchers with University of Minnesota plan to study whether the new ambulances can improve survival rates.
A new protocol helps improve brain-healthy survival rates for a subset of sudden cardiac arrest patients. Developed and implemented in Minnesota, the approach is now being tested nationally.Continue reading
Immediate access to the cardiac catheterization lab and care team leads to complete recovery for a patient whose shockable heart rhythm was refractory to defibrillation.Continue reading