Clinical details of deaths in prospectively studied emergency department and coronary care unit patients
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Age/sex/infarct site/ST changes/ prelysis CCU review | tPA/SK | Time to death | Cause of death | Initial hypotension/CCF |
| Coronary care unit deaths (3) | ||||
| 81/ F/inf/3×1 mm/yes | SK | 10 days | Cardiogenic failure | No, but recurrent episodes during admission |
| 81/F/new LBBB/yes | SK | 8 days | Arrest after 8/7 low output failure | Initial shock, SBP 70; severe LV dysfunction |
| 72/F/ant/4×4 mm/yes | tPA | 3 days | Pulseless electrical activity; probable tamponade | No |
| Emergency department deaths (12) | ||||
| 46/M/ant/4×4 mm/yes | tPA | 4 days | Cardiogenic shock; died post-CABG | SBP 70; persistent hypotension |
| 88/M/ant/3×6 mm/yes | SK | 4 days | Arrest after day 4; cardiac failure | SBP 90; inotrope dependent before arrest |
| 54/M/ant lat inf/8×2mm/no | SK | 4 hours | Aortic dissection; tamponade | Ehlers-Danlos syndrome |
| 74/F/inf lat/6×1mm/no | SK | 1 hour | Sudden hypotensive arrest | Yes; occurred rapidly after thrombolysis |
| 77/F/ant/4×7 mm/no | SK | 3 days | New VSD day 2; VF arrest | Mild pulmonary oedema; hypotensive after VSD |
| 87/M/inf post/6×2 mm/no | SK | 6 days | New ST changes day 6; hypotensive demise | 2nd AMI; not for thrombolysis/resuscitation |
| 77/F/inf/2×4 mm/yes | SK | 12 days | Cardiogenic shock | Inotrope dependent before arrest |
| 83/F/ant/4×5 mm/yes | SK | 5 days | Intracranial haemorrhage | SBP 180 at time of thrombolysis; decision made by cardiologist |
| 84/M/ant/4×5 mm/no | SK | 9 days | VSD; arrest after | Not hypotensive on arrival; VSD late |
| 78/F/inf/3×6 mm/no | SK | 3 days | Cardiogenic shock | Gradual decrease in SBP |
| 89/M/ant/3×4 mm/no | SK | 4 days | VF arrest; not for resuscitation | Initial SBP 80; severe LV dysfunction |
| 67/M/inf post/5×4 mm/no | SK (0.8 MU) | 4 hours | Rescue angioplasty; hypotensive arrest | BP fell during SK; persisted after angioplasty |
Ant, anterior; BP, blood pressure; CABG, coronary artery bypass graft; CCF, congestive heart failure; inf, inferior; LBBB, left bundle branch block; LV, left ventricular; post, posterior; SBP, systolic blood pressure; SK, streptokinase; tPA, alteplase; VF, ventricular fibrillation; VSD, ventricular septal defect.