Acute cardiac care & resuscitationCohort study

Electrocardiogram Abnormalities and the Risk of Out-of-Hospital Cardiac Arrest: A Nationwide Cohort Study

Heart RhythmPublished

  • Nationwide Cohort Study

Authors' conclusion

This nationwide study of over two million patients, spanning almost 20 years, showed that several ECG abnormalities were associated with increased 5-year risk of OHCA.

Study context

Population
Patients with a first-recorded ECG, from hospital or ambulance setting, in the Danish Nationwide Electrocardiogram Cohort and Danish Cardiac Arrest Registry
Participants
2,155,155 patients
Exposure
5-year OHCA risk for different ECG abnormalities

Main finding

As reported in the abstract

5-year OHCA risk · 5 years

normal electrocardiograms (ECGs)

0.50%

95% CI 0.49–0.51%

atrial fibrillation

0.61%

95% CI 0.58–0.64%

left bundle branch block

0.73%

95% CI 0.68–0.78%

intraventricular conduction delay

0.68

95% CI 0.63–0.73

left posterior fascicular block

0.87%

95% CI 0.67–1.06%

Q-wave

0.59%

95% CI 0.57–0.61%

ST-depression

0.67%

95% CI 0.64–0.71%

left ventricular hypertrophy

0.74%

95% CI 0.71–0.77%

QTc prolongation

0.84%

95% CI 0.81–0.86%

Observational data: associations, not effects.

Original publication

Electrocardiogram Abnormalities and the Risk of Out-of-Hospital Cardiac Arrest: A Nationwide Cohort Study. Heart Rhythm. Published 25 September 2026. doi:10.1016/j.hrthm.2026.09.037

Summarised from the published abstract; every number is checked against it