Key result
Emergency coronary angiography post-arrest should prioritize patients with high acute lesion risk and favorable neurological prognosis.
Why the study?
The role of emergency coronary angiography after cardiac arrest and return of spontaneous circulation remains unclear, particularly in patients less likely to have a coronary cause or with concerning neurological outlook.
Does emergency coronary angiography improve outcomes in patients after successfully resuscitated cardiac arrest?
Does emergency coronary angiography improve outcomes in patients after successfully resuscitated cardiac arrest?
This review highlights that emergency coronary angiography should be prioritized for resuscitated cardiac arrest patients with high risk of acute coronary lesions and favorable neurological prognosis, while questioning its use in low-risk or poor-prognosis patients.
May inform selective post-arrest angiography; leaves open need for randomized outcome trials.
The role of emergency coronary angiography after cardiac arrest and return of spontaneous circulation is not yet completely clear. While patients with a high risk of acute coronary lesion and with a presumed favorable neurological outcome should undergo a coronary angiography as soon as possible, the decision to perform it is questionable in patients who are less likely to have a coronary cause of arrest, and when clinical characteristics raise serious concerns regarding neurological outcome. In this paper, we analyze the main advantages and drawbacks of a coronary angiogram after a successfully resuscitated cardiac arrest.
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Bougouin et al. (2019) conducted a review in Cardiac arrest and return of spontaneous circulation. Emergency coronary angiography was evaluated. Emergency coronary angiography after cardiac arrest should be prioritized for patients with a high risk of acute coronary lesion and presumed favorable neurological outcome.
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