Why the study?
Does early catheterization and PCI improve survival and cerebral performance in patients resuscitated from cardiac arrest of suspected cardiac origin?
Does early catheterization and PCI improve survival and cerebral performance in patients resuscitated from cardiac arrest of suspected cardiac origin?
The authors advocate for early catheterization and PCI in post-cardiac arrest care and suggest excluding these high-risk patients from PCI mortality report cards.
The formalizing post resuscitation care to include therapeutic hypothermia and cardiac angiography with percutaneous coronary intervention when needed could significantly improve survival following cardiac arrest. Any sudden death patient suspected to have a cardiac origin for their cardiac arrest should be considered for early catheterization and subsequent percutaneous coronary intervention (PCI) if a culprit lesion can be identified. Successful PCI improves survival to hospital discharge and cerebral performance category in patients with or without ST elevation. Current ‘report carding’ methodology needs to be changed regarding those resuscitated from cardiac arrest (patients with cardiac arrest not including them in any statistical reporting on PCI mortality report cards).
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Karl B. Kern (2010) conducted a review in Cardiac arrest. Early cardiac catheterization and percutaneous coronary intervention (PCI) vs. Historical controls was evaluated on Survival to hospital discharge.
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