Coronary features across the spectrum of out-of-hospital cardiac arrest with ST-elevation myocardial infarction (CAD-OHCA study)

Article Cardiac & Cardiovascular Systems

Coronary disease in refractory cardiac arrest undergoing resuscitation with extracorporeal membrane oxygenation

Danilo Franco et al.

Summary: This study compared angiographic features and percutaneous coronary intervention (PCI) between patients undergoing extracorporeal membrane oxygenation (E-CPR) and those with spontaneous circulation after conventional cardiopulmonary resuscitation (C-CPR). The results showed that patients in the E-CPR group had a higher prevalence of multivessel disease, unprotected left main stenosis, and chronic total occlusion, but there were no significant differences in the incidence, features, and distribution of the acute culprit lesion between the two groups.

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE (2023)

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Review Critical Care Medicine

Coronary angiography findings in resuscitated and refractory out-of-hospital cardiac arrest: A systematic review and meta-analysis

Tommaso Scquizzato et al.

Summary: This systematic review and meta-analysis provides an accurate description of angiographic features in resuscitated and refractory out-of-hospital cardiac arrest (OHCA) patients. The study reveals a high prevalence of significant coronary artery disease (CAD) in OHCA patients, especially in those with refractory OHCA. The findings suggest the important clinical implications of coronary angiography in diagnosing and treating CAD in OHCA patients.

RESUSCITATION (2023)

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Article Medicine, General & Internal

Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest A Randomized Clinical Trial

Jan Belohlavek et al.

Summary: The study aimed to determine whether an early invasive approach improves neurologically favorable survival in patients with refractory out-of-hospital cardiac arrest. The results showed no significant difference in survival with neurologically favorable outcome at 180 days between the invasive strategy group and the standard strategy group. However, the invasive strategy group had higher rates of neurologic and cardiac recovery at 30 days.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

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Editorial Material Critical Care Medicine

Toward better understanding of coronary anatomy in refractory out-of-hospital cardiac arrest

Marko Noc et al.

RESUSCITATION (2022)

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Article Cardiac & Cardiovascular Systems

Comparative Outcomes After Percutaneous Coronary Intervention in Unconscious and Conscious Patients With Out-of-Hospital Cardiac Arrest

Alessandro Spirito et al.

Summary: This study compared the occurrence of 1-year outcomes after PCI in OHCA patients and ACS patients without OHCA, revealing that unconscious OHCA patients were at higher risk of death, definite stent thrombosis, and bleeding, while conscious OHCA patients had similar hazards. Dedicated PCI strategies based on the state of consciousness post-resuscitation for OHCA patients are warranted.

JACC-CARDIOVASCULAR INTERVENTIONS (2022)

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Article Cardiac & Cardiovascular Systems

Emergency vs Delayed Coronary Angiogram in Survivors of Out-of-Hospital Cardiac Arrest Results of the Randomized, Multicentric EMERGE Trial

Caroline Hauw-Berlemont et al.

Summary: In this randomized clinical trial, it was found that for patients experiencing OHCA without ST-segment elevation on ECG, emergency CAG did not show superiority over delayed CAG in terms of 180-day survival rate and minimal neurologic sequelae.

JAMA CARDIOLOGY (2022)

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Article

British Cardiovascular Interventional Society Consensus: a Huge Step Towards Standardised Care for Out-of-hospital Cardiac Arrest in the UK

Marko Noc et al.

Interventional Cardiology Review (2022)

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Article Medicine, General & Internal

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation

Steffen Desch et al.

Summary: Among patients with resuscitated out-of-hospital cardiac arrest without ST-segment elevation, the immediate angiography strategy did not provide any benefit over a delayed or selective strategy in terms of the 30-day risk of death from any cause.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

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Article Cardiac & Cardiovascular Systems