Out of hospital cardiac arrests and emergency coronary angiography

Conclusion Less than 50% of patients who had an OOHCA from VF underwent immediate coronary angiography. In those patients that did not undergo immediate coronary angiography, a delayed angiography was performed in 27%, of whom 75% had a PCI. Current practice resulted in a sensitivity and specificity that was too low to rule in or out stentable lesions. Emergency Physicians would arrange for more patients to have immediate angiography following cardiac arrest compared with Cardiologists. This would result in more patients with stentable lesions having PCI performed immediately, but would result in more cases of immediate angiography being performed in patients who do not have stentable lesions.
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: Drugs: cardiovascular system, Stroke, Acute coronary syndromes, Percutaneous intervention, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM LIGHTNING PRESENTATIONS Source Type: research