Podcast 728: Angiography for Out-of-Hospital Cardiac Arrest without ST Elevation - The Emergency Medical Minute

Podcast 728: Angiography for Out-of-Hospital Cardiac Arrest without ST Elevation

Contributor: Nick Tsipis, MD

Educational Pearls:

  • Meaningful survival under 10% for out of hospital cardiac arrest
  • The most common cause of out-of-hospital cardiac arrest is due to cardiac ischemia
  • Study looked at whether taking patients without ST elevation who had an out-of-hospital cardiac arrest with return of spontaneous circulation (ROSC) should receive angiography upon arrival to the hospital
  • Took 530 patients and randomized to early vs. delayed angiography after resuscitation from out-of-hospital arrest
  • Found no benefit to early angiography using 30-day all-cause risk of death as the primary endpoint

References

Desch S, Freund A, Akin I, et al. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation [published online ahead of print, 2021 Aug 29]. N Engl J Med. 2021;10.1056/NEJMoa2101909. doi:10.1056/NEJMoa2101909

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

 

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.com/cme-courses/ and create an account. 

Donate to EMM today!

Diversity and Inclusion Award

Check out this episode!

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

 

Stay up to date by
joining our mailing list!