American Heart Association sets ambitious targets for cardiac arrest survival

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Only 10% of people with cardiac arrest survive. In response to new challenges outlined in the American Heart Association Emergency Cardiovascular Care 2030 Impact Goals and calls to action to improve cardiac arrest outcomes, the American Heart Association’s volunteer Emergency Cardiovascular Care Committee has made the case for doubling survivorship to 20%. The new 10-year goals for the nation, published today in the association’s premier peer-reviewed journal circulation, can be achieved by increasing the rate of bystander cardiopulmonary resuscitation (CPR) by more than 50% and increasing the frequency of defibrillation (use of AED) for out-of-hospital cardiac arrest before emergency services arrive; survival after cardiac arrest at home or in hospital, and neurologically intact survival (survival with normal brain function).

Equity-focused goals are key to improving cardiac arrest survival outcomes, with a specific focus on racial/ethnic and other historically marginalized groups and communities of lower socioeconomic status.

The volunteer expert committee identifies clinical goals every 10 years that align with the association’s broader mission and seeks to provide guidance for scientists, health care professionals, the public, policymakers, and others to focus on improving outcomes from cardiac arrest. This new, bold goal – announced in the association’s centennial year – highlights its focus on saving and improving lives.

We hope that these goals will serve as an ambitious and achievable road map for improved heart health and better survival rates for all communities and all people. Achieving them will truly require a collaboration between health care professionals, first responders, and the public, and will require supporting registries to help track and report on cardiac arrest incidence, treatment, and the many factors that influence it, including CARES and guidelines. results.”


Raina M. Marchant, MD, MSHP, FAHA, is the volunteer chair of the American Heart Association’s Statement Writing Committee and a professor of emergency medicine at the Perelman School of Medicine at the University of Pennsylvania.

Currently, 90% of people who die of cardiac arrest outside the hospital do not receive CPR more than half of the time. To save more lives than the nearly 350,000 out-of-hospital cardiac arrests that occur each year, increase the number of people who respond to cardiac arrest by calling 911, providing high-quality CPR, and getting and using an AED as soon as it’s available to survive. Important for results.

Black or Hispanic adults who experience out-of-hospital cardiac arrest are significantly less likely to receive life-saving care from a bystander. The association is working to change that by improving access to life-saving CPR training in these communities.

The association’s focus on CPR training and education has already shown improvements in bystanders’ willingness to provide life-saving care. In a 2023 consumer survey, more than half of participants said they would perform either CPR or hands-only CPR, and their confidence level in performing CPR improved from 2021. Prompt CPR and defibrillation are key to doubling survival rates from cardiac arrest by 2030. .



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