Immediate Angiography Not Beneficial in Out-of-Hospital Cardiac Arrest Without ST Elevation

Thirty-day survival was not greater with an immediate versus delayed or selective angiographic strategy in this randomized trial.

Although patients with out-of-hospital cardiac arrest and ST-segment elevation myocardial infarction may benefit from early angiography and revascularization, one randomized trial in patients without ST-segment elevation (and with a shockable rhythm) showed no difference in 90-day survival with immediate versus delayed angiography (NEJM JW Cardiol May 2019 and N Engl J Med 2019; 380:1397; NTR4973). Now, this issue has been further studied in a trial from Germany and Denmark, in which 554 patients (median age, 70 years) with out-of-hospital cardiac arrest, without ST-segment elevation, and with shockable (55%) or nonshockable arrest rhythms were randomly assigned to immediate versus delayed or selective angiography with revascularization as …

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI

Leadership Positions in Professional SocietiesHeart Valve Collaboratory (Scientific Committee Member, Chair of the Publications Committee)