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Resuscitated cardiac arrest without STEMI—Should we go immediately to the cath lab?

      In 1997, a landmark study published in the New England Journal of Medicine identified unstable coronary lesion(s) as the main cause of out-of-hospital cardiac arrest (OHCA) and suggested that immediate percutaneous coronary intervention (PCI) could improve survival [
      • Spaulding C.M.
      • Joly L.M.
      • Rosenberg A.
      • Monchi M.
      • Weber S.N.
      • Dhainaut J.F.
      • et al.
      Immediate coronary angiography in survivors of out-of-hospital cardiac arrest.
      ]. Despite this finding, patients with OHCA were too long “forgotten orphans” of interventional cardiology. It required additional observational cohort trials demonstrating feasibility, safety and possible survival benefit of immediate coronary angiography (CAG) and PCI for a gradual adoption of this strategy.
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