[Acute coronary angiography should be considered in patients with ST segment elevation after out-of-hospital cardiac arrest].
Guidelines suggest that acute coronary angiography (CAG) is considered in patients resuscitated from out-of-hospital cardiac arrest with presumed cardiac aetiology. Since specialized post-resuscitation care, including therapeutic hypothermia, has proved beneficial in randomized studies, CAG should be offered to patients with a high likelihood of thrombotic coronary lesions, i.e. patients with ST-segment elevation in electrocardiogram (ECG) following resuscitation. This article suggests a triage and referral based on electronic transmission of ECG and teleconference with specialized centres in all patients.
Hjertemedicinsk Klinik B, B2142, Hjertecentret, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark. jek@dadlnet.dk
Jesper
J
Kjærgaard
John
J
Bro-Jeppesen
Jacob Eifer
JE
Møller
Helle
H
Søholm
Lene
L
Holmvang
Michael
M
Wanscher
Freddy
F
Lippert
Søren
S
Boesgaard
Christian
C
Hassager
D016887:Cardiopulmonary Resuscitation; D002423:Cause of Death; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D007036:Hypothermia, Induced; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D058687:Out-of-Hospital Cardiac Arrest / Q000000981:diagnostic imaging* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D062645:Percutaneous Coronary Intervention; D013997:Time Factors; D014218:Triage