{"id":23126,"date":"2018-01-21T09:09:38","date_gmt":"2018-01-21T03:39:38","guid":{"rendered":"https:\/\/cardiophile.org\/?p=23126"},"modified":"2022-11-26T20:44:59","modified_gmt":"2022-11-26T15:14:59","slug":"crest-model-for-prediction-of-circulatory-etiology-death","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/","title":{"rendered":"CREST Model for prediction of circulatory etiology death"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/6ZBjN7KuC44\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2 align=\"LEFT\"><span style=\"color: #008000;\">CREST Model for prediction of circulatory etiology death<\/span><\/h2>\n<p align=\"LEFT\">CREST Model for very early prediction of circulatory etiology death in patients resuscitated after cardiac arrest and admitted to intensive care unit, but without an ST elevation myocardial infarction from the International Cardiac Arrest Registry (INTCAR) [1] seems to be a promising tool.<\/p>\n<p align=\"LEFT\">The CREST model considers the following factors:<\/p>\n<ol>\n<li>\n<p align=\"LEFT\">Coronary artery disease<\/p>\n<\/li>\n<li>\n<p align=\"LEFT\">Initial heart rhythm<\/p>\n<\/li>\n<li>\n<p align=\"LEFT\">Low ejection fraction<\/p>\n<\/li>\n<li>\n<p align=\"LEFT\">Shock at the time of admission<\/p>\n<\/li>\n<li>\n<p align=\"LEFT\">Ischemic time more than 25 minutes<\/p>\n<\/li>\n<\/ol>\n<p align=\"LEFT\">Shock at presentation was defined as systolic blood pressure less than 90 mm Hg in the first hour of hospitalisation, despite fluid resuscitation and pressor support or the need for intra-aortic balloon pump. Ejection fraction was assessed within 12 hours of admission by echocardiogram. Ischemic time was from the time of arrest to return of spontaneous circulation sufficient enough to be admitted to intensive care unit.<\/p>\n<p align=\"LEFT\">Initial rhythm was considered shockable if ventricular tachycardia or fibrillation and non shockable if pulseless electrical activity or asystole. Score of 0 or 1 gave a risk of circulatory etiology death just above 10% while score 2 elevated it around 20% and score of 3 around 30%. While a score of 4 raised it around 35%, a score of 5 raised it above 50%.<\/p>\n<p align=\"LEFT\">The authors suggest that as circulatory etiology death is around one third in this type of patients, the CREST model may allow patients with less of brain injury to be assigned more mechanical circulatory support and possible efforts at revascularization to improve survival. For this to be effective, brain injury assessment methods like processed electroencephalography may have to be combined with the CREST model.<\/p>\n<p align=\"LEFT\"><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Bascom KE, Dziodzio J, Vasaiwala S, Mooney M, Patel N, McPherson J, McMullan P, Unger B, Nielsen N, Friberg H, Riker RR, Kern KB, Duarte CW, Seder DB; International Cardiac Arrest Registry (INTCAR). <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29074504\">Derivation and Validation of the CREST Model for Very Early Prediction of Circulatory Etiology Death in Patients Without ST-Segment-Elevation Myocardial Infarction After Cardiac Arrest<\/a>. Circulation. 2018 Jan 16;137(3):273-282.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>The CREST Model for prediction of circulatory etiology death considers the following factors: 1. Coronary artery disease 2. Initial heart rhythm 3. Low ejection fraction 4. Shock at the time of admission 5. Ischemic time more than 25 minutes<\/p>\n","protected":false},"author":1,"featured_media":40142,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-23126","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CREST Model for prediction of circulatory etiology death<\/title>\n<meta name=\"description\" content=\"CREST Model for prediction of circulatory etiology death considers: CAD, Initial rhythm, Low EF, Shock at admission and Ischemic time more than 25 minutes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CREST Model for prediction of circulatory etiology death\" \/>\n<meta property=\"og:description\" content=\"CREST Model for prediction of circulatory etiology death considers: CAD, Initial rhythm, Low EF, Shock at admission and Ischemic time more than 25 minutes.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2018-01-21T03:39:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-26T15:14:59+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"CREST Model for prediction of circulatory etiology death\",\"datePublished\":\"2018-01-21T03:39:38+00:00\",\"dateModified\":\"2022-11-26T15:14:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/\"},\"wordCount\":327,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"General Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/\",\"name\":\"CREST Model for prediction of circulatory etiology death\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2018-01-21T03:39:38+00:00\",\"dateModified\":\"2022-11-26T15:14:59+00:00\",\"description\":\"CREST Model for prediction of circulatory etiology death considers: CAD, Initial rhythm, Low EF, Shock at admission and Ischemic time more than 25 minutes.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/crest-model-for-prediction-of-circulatory-etiology-death\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CREST Model for prediction of circulatory etiology death\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"CREST Model for prediction of circulatory etiology death","description":"CREST Model for prediction of circulatory etiology death considers: CAD, Initial rhythm, Low EF, Shock at admission and Ischemic time more than 25 minutes.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/","og_locale":"en_US","og_type":"article","og_title":"CREST Model for prediction of circulatory etiology death","og_description":"CREST Model for prediction of circulatory etiology death considers: CAD, Initial rhythm, Low EF, Shock at admission and Ischemic time more than 25 minutes.","og_url":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2018-01-21T03:39:38+00:00","article_modified_time":"2022-11-26T15:14:59+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"CREST Model for prediction of circulatory etiology death","datePublished":"2018-01-21T03:39:38+00:00","dateModified":"2022-11-26T15:14:59+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/"},"wordCount":327,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#primaryimage"},"thumbnailUrl":"","articleSection":["General Cardiology"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/","url":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/","name":"CREST Model for prediction of circulatory etiology death","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#primaryimage"},"thumbnailUrl":"","datePublished":"2018-01-21T03:39:38+00:00","dateModified":"2022-11-26T15:14:59+00:00","description":"CREST Model for prediction of circulatory etiology death considers: CAD, Initial rhythm, Low EF, Shock at admission and Ischemic time more than 25 minutes.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/crest-model-for-prediction-of-circulatory-etiology-death\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"CREST Model for prediction of circulatory etiology death"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/23126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=23126"}],"version-history":[{"count":3,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/23126\/revisions"}],"predecessor-version":[{"id":56947,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/23126\/revisions\/56947"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=23126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=23126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=23126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}