Key result
This review outlines the contemporary management of out-of-hospital cardiac arrest in the cardiac catheterisation laboratory, including early coronary angiography and targeted temperature management.
Why the study?
Out-of-hospital cardiac arrest is a major cause of morbidity and mortality, frequently with a primary cardiac aetiology requiring specialist cardiac centre management.
This review outlines the contemporary management strategies for out-of-hospital cardiac arrest patients in the cardiac catheterisation laboratory, highlighting the roles of early angiography, targeted temperature management, and mechanical circulatory support.
Outlines contemporary OHCA management in the cath lab; leaves open the need for randomized trials on optimal protocols.
Out-of-hospital cardiac arrest (OHCA) is an important cause of mortality and morbidity in developed countries and remains an important public health burden. A primary cardiac aetiology is common in OHCA patients, and so patients are increasingly brought to specialist cardiac centres for consideration of coronary angiography, percutaneous coronary intervention and mechanical circulatory support. This article focuses on the management of OHCA in the cardiac catheterisation laboratory. In particular, it addresses conveyance of the OHCA patient direct to a specialist centre, the role of targeted temperature management, pharmacological considerations, provision of early coronary angiography and mechanical circulatory support.
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Pareek et al. (2019) conducted a review in Out-of-hospital cardiac arrest (OHCA). Management in the cardiac catheterisation laboratory was evaluated. This review outlines the contemporary management of out-of-hospital cardiac arrest in the cardiac catheterisation laboratory, including early coronary angiography and targeted temperature management.
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