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Sudden cardiac arrest with dysregulation of the sympathetic nervous system and coagulopathy. Sudden cardiac arrest (SCA) results in sudden cessation of cardiac electrical activity, leading to cessation of circulation. After cardiac arrest, dysfunction of the hypothalamus-pituitary-adrenocortical axis frequently leads to relative adrenal insufficiency. The goal of this study was to determine the prevalence of coagulopathy among patients dying of SCA and the impact of coagulopathy on the prevalence of adrenal insufficiency and the timing of cardiopulmonary resuscitation (CPR). We performed a retrospective cohort study of 2821 consecutive out-of-hospital cardiac arrest (OHCA) patients. Coagulopathy, defined as a prothrombin time (PT) or activated partial thromboplastin time (APTT) longer than 1.5 times the upper limit of normal, was compared between SCA and non-SCA patients. The prevalence of adrenal insufficiency was examined based on cortisol measurements at the time of hospital admission. Logistic regression was used to assess the association between adrenal insufficiency and the presence of coagulopathy. The median age of the patients was 68 years, 49.
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