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 [
[1]
]. 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.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ResuscitationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Immediate coronary angiography in survivors of out-of-hospital cardiac arrest.N Engl J Med. 1997; 336: 1629-1633
- Invasive coronary treatment strategies for out-of-hospital cardiac arrest: a consensus statement from the European association for percutaneous cardiovascular interventions (EAPCI)/stent for life (SFL) groups.EuroIntervention. 2014; 10: 31-37
- Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest. Insights from the PROCAT registry.Circ Cardiovasc Interv. 2010; 3: 200-207
- Angiographic characteristics of coronary disease and postresuscitation electrocardiograms in patients with aborted cardiac arrest outside a hospital.Am J Cardiol. 2011; 108: 634-638
- Acute coronary angiographic findings in survivors of out-of-hospital cardiac arrest.Am Heart J. 2009; 157: 312-318
- Should we use postresuscitation ECG to decide for immediate invasive coronary strategy after resuscitated cardiac arrest.Resuscitation. 2013; 84: 1169-1170
- Hunting for diagnosis of cardiac arrest.Resuscitation. 2012; 83: 1423-1424
- Coronary angiographic findings and outcomes in patients with sudden cardiac arrest without ST-elevation myocardial infarction: a SWEDEHEART study.Resuscitation. 2018; 126: 172-178
- Early versus delayed invasive strategies in high-risk non-ST elevation acute coronary syndrome patients – a systematic literature review and meta-analysis of randomised controlled trials.Heart Lung Circ. 2017; 26: 1142-1159
- Long-term outcome of a routine versus selective invasive strategy in patients with non-ST-segment elevation acute coronary syndrome a meta-analysis of individual patient data.J Am Coll Cardiol. 2010; 55: 2435-2445
- ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC).Eur Heart J. 2018; 39: 119-177
Article info
Publication history
Published online: February 23, 2018
Accepted:
February 19,
2018
Received:
February 18,
2018
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.
