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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