Key result
Post-resuscitation electrocardiogram evaluation is proposed as a triage method for establishing the indication for emergency coronary angiogram after out-of-hospital cardiac arrest in a planned observational study.
Why the study?
Does post-resuscitation ECG pattern predict the incidence of acute coronary artery disease in patients with out-of-hospital cardiac arrest?
Observational
Yes
Does post-resuscitation ECG pattern predict the incidence of acute coronary artery disease in patients with out-of-hospital cardiac arrest?
This paper proposes a study design to evaluate whether post-resuscitation ECG patterns can predict acute coronary lesions and guide the indication for emergency coronary angiography in out-of-hospital cardiac arrest survivors.
ECG-based triage for post-arrest angiography in OHCA requires prospective validation; leaves open its ability to predict acute coronary lesions.
Out-of-hospital cardiac arrest is a common cause of death. Some therapeutic strategies performed daily are still debated, including particularly emergency coronary angiography independently of the clinical pattern. Primary percutaneous coronary intervention seems the strategy of choice in ST-segment elevation myocardial infarction but in other clinical presentations, benefit of coronary angiogram remains controversial. To improve management of out-of-hospital cardiac arrest and define the best timing to perform coronary angiogram, we suggest a study design based on ECG evaluation to define predictors of coronary artery disease after resuscitated cardiac arrest by distinguishing 3 groups according to ECG after resuscitation: ST segment elevation and LBBB; repolarisation disorder or no repolarisation disorder. Evaluation of ECG changes may still be useful as a triage method for establishing the indication for emergency coronary angiogram due to easy, non invasive and quick method and thus for limiting complications associated with this exam in acute phase.
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Lonjon et al. (2015) conducted an observational in Out-of-hospital cardiac arrest. Post-resuscitation electrocardiogram was evaluated on Incidence of coronary stenosis and/or occlusion and predictive factors of acute coronary artery disease. Post-resuscitation electrocardiogram evaluation is proposed as a triage method for establishing the indication for emergency coronary angiogram after out-of-hospital cardiac arrest in a planned observational study.
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