Skip to main content

Survival after cardiac arrest: what is the situation in Lithuania?


Treatment of patients after sudden cardiac arrest remains a significant problem. Even after successful resuscitation, most patients have complications - one of the most serious and, unfortunately, very common being postanoxic brain injury. Aims of the study were to estimate the survival time for patients who had sinus rhythm restored after cardiac arrest but had neurological deficiency, and to estimate basic pathology that triggers cardiac arrest.


Retrospective data analysis was performed in the coronary care unit of Lithuanian University of Health Sciences Hospital - Kaunas Clinics. Records of 56 patients were analysed (37.5% women and 62.5% men). Age ranged from 46 to 88 years. Average age was 65.32 ± 12.59. Sinus rhythm was restored for all patients after cardiac arrest, but had a neurological deficiency.


A total 89.28% of patients suffered out-of-hospital cardiac arrest. For 28.6% of patients it was enough to make CPR less than 15 minutes, before revival of sinus rhythm; 33.9% needed 15 to 30 minutes and 37.5% patients had to be resuscitated for more than 30 minutes. Almost one-half of patients (46.4%) did not survive 24 hours after resuscitation. The dominating basic pathology was acute myocardial infarction of the anterior wall (53.6%). The most common neurological deficiency was postanoxic coma (83.9%).


Almost one-half of patients, which had revival of sinus rhythm after cardiac arrest and had neurological deficiency, did not survive 24 hours after resuscitation. The most common basic pathology, which caused cardiac arrest, was acute myocardial infarction with dominating anterior wall infarction.


  1. Cokkinos P: Post-resuscitation care: current therapeutic concepts. Acute Cardiac Care 2009, 11: 131-137. 10.1080/17482940903168209

    Article  PubMed  Google Scholar 

  2. Hayakawa M, Gando S, Okamoto H, Asai Y, Uegaki S, Makise H: Shortening of cardiopulmonary resuscitation time before the defibrillation worsens the outcome in out-of-hospital VF patients. Am J Emerg Med 2009, 27: 470-474. 10.1016/j.ajem.2008.03.043

    Article  PubMed  Google Scholar 

  3. Garza AG, Gratton MC, Salomone JA, Lindholm D, McElroy J, Archer R: Improved patient survival using a modified resuscitation protocol for out-of-hospital cardiac arrest. Circulation 2009, 119: 2597-2605. 10.1161/CIRCULATIONAHA.108.815621

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Cite this article

Macas, A., Baksyte, G., Pieteris, L. et al. Survival after cardiac arrest: what is the situation in Lithuania?. Crit Care 15 (Suppl 1), P300 (2011).

Download citation

  • Published:

  • DOI:


  • Myocardial Infarction
  • Brain Injury
  • Cardiac Arrest
  • Acute Myocardial Infarction
  • Sinus Rhythm