Emergency Medical Minute9 Nov 2021

Podcast 728: Angiography for Out-of-Hospital Cardiac Arrest without ST Elevation

Contributor: Nick Tsipis, MD

Educational Pearls:

Meaningful survival under 10% for out of hospital cardiac arrest
The most common cause of out-of-hospital cardiac arrest is due to cardiac ischemia
Study looked at whether taking patients without ST elevation who had an out-of-hospital cardiac arrest with return of spontaneous circulation (ROSC) should receive angiography upon arrival to the hospital
Took 530 patients and randomized to early vs. delayed angiography after resuscitation from out-of-hospital arrest
Found no benefit to early angiography using 30-day all-cause risk of death as the primary endpoint

References

Desch S, Freund A, Akin I, et al. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation [published online ahead of print, 2021 Aug 29]. N Engl J Med. 2021;10.1056/NEJMoa2101909. doi:10.1056/NEJMoa2101909

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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