Does a strategy of immediate angiography improve overall survival at 90 days compared to delayed angiography in patients successfully resuscitated after out-of-hospital cardiac arrest without STEMI?
In patients successfully resuscitated from out-of-hospital cardiac arrest without STEMI, immediate coronary angiography does not improve 90-day survival compared to a delayed approach.
Among patients who had been successfully resuscitated after out-of-hospital cardiac arrest and had no signs of STEMI, a strategy of immediate angiography was not found to be better than a strategy of delayed angiography with respect to overall survival at 90 days. (Funded by the Netherlands Heart Institute and others; COACT Netherlands Trial Register number, NTR4973.).
Lemkes et al. (Mon,) studied this question.