Impact of urgent coronary angiography on mid-term clinical outcome of comatose out-of-hospital cardiac arrest survivors presenting without ST-segment elevation

Abstract Background Timing of coronary angiography (CAG) is still controversial in the out-of-hospital cardiac arrest survivors who present without ST-segment elevation. Methods and results We analysed a prospective registry of 158 comatose survivors of out-of-hospital cardiac arrest. For further an...

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Bibliographic Details
Published in:Resuscitation 2015-09, Vol.94, p.61-66
Main Authors: Kleissner, Martin, Sramko, Marek, Kohoutek, Jan, Kautzner, Josef, Kettner, Jiri
Format: Article
Language:English
Subjects:
Acute coronary syndrome
Acute Coronary Syndrome - complications
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - mortality
Cardiac arrest
Cardiopulmonary Resuscitation - methods
Coma - diagnosis
Coma - etiology
Coma - mortality
Coma - therapy
Coronary angiography
Coronary Angiography - methods
Czech Republic - epidemiology
Electrocardiography
Emergency
Female
Follow-Up Studies
Hospitalization - trends
Humans
Male
Middle Aged
Out-of-Hospital Cardiac Arrest - complications
Out-of-Hospital Cardiac Arrest - mortality
Out-of-Hospital Cardiac Arrest - therapy
Prognosis
Prospective Studies
Registries
Survival Rate - trends
Temperature management
Time Factors
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Summary:Abstract Background Timing of coronary angiography (CAG) is still controversial in the out-of-hospital cardiac arrest survivors who present without ST-segment elevation. Methods and results We analysed a prospective registry of 158 comatose survivors of out-of-hospital cardiac arrest. For further analysis, we included 99 patients without ST-segment elevation on the initial electrocardiogram. All patients underwent temperature management. Urgent CAG (
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2015.06.022