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

The authors conducted a multicenter trial to compare immediate coronary angiography versus delayed/selective angiography in 554 resuscitated patients with out-of-hospital cardiac arrest (OHCA) without ST-segment elevation. At 30 days, 54.0% of the immediate-angiography group and 46.0% of the delayed-angiography group had died (hazard ratio, 1.28; 95% CI, 1.00 to 1.63; P=0.06). The composite of death or severe neurologic deficit occurred more frequently in the immediate-angiography group (64.3% vs. 55.6%). Immediate angiography provided no benefit over a delayed/selective strategy for 30-day mortality.

The authors conducted a multicenter trial to compare immediate coronary angiography versus delayed/selective angiography in 554 resuscitated patients with out-of-hospital cardiac arrest (OHCA) without ST-segment elevation. At 30 days, 54.0% of the immediate-angiography group and 46.0% of the delayed-angiography group had died (hazard ratio, 1.28; 95% CI, 1.00 to 1.63; P=0.06). The composite of death or severe neurologic deficit occurred more frequently in the immediate-angiography group (64.3% vs. 55.6%). Immediate angiography provided no benefit over a delayed/selective strategy for 30-day mortality.