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The aim of the study is to describe the mechanisms of ultra-acute hyperglycemic response after return of spontaneous circulation (ROSC) in patients suffering out-of-hospital cardiac arrest. The investigators hypothesize that ischemia and reperfusion injury leads decreased secretion of insulin and glucose-like peptide 1 (GLP-1).
Two blood samples will be drawn: (1.) Immediately after ROSC and (2.) 60 minutes after first sample. Concentrations of glucose, insulin, glucagon and GLP-1 will be compared between the samples.
Metabolic profile will be compared between: (1.) diabetic and non-diabetic patients and (2.) survivors and non-survivors.
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| Measure | Description | Time Frame |
|---|---|---|
| Change in level of insulin | 60 minutes | |
| Change in level of glucagon | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Blood cortisol level | 60 minutes after ROSC | |
| Blood interleukin-6 level | 60 minutes after ROSC | |
| Change in blood glucose level |
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Inclusion Criteria:
Exclusion Criteria:
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Successfully resuscitated patients treated by physician staffed mobile intensive care unit in Helsinki area.
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| Name | Affiliation | Role |
|---|---|---|
| Jouni Nurmi, MD, PhD | Helsinki University Central Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helsinki Emergency Medical Services | Helsinki | Finland | ||||
| Helsinki Area Helicopter Emergency Medical Services |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
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Plasma
| 60 minutes |
| Change in level of GLP-1 | 60 minutes |
| Vantaa |
| Finland |
| D008659 |
| Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |