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

Emergency Medical Minute

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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