Early or Delayed Angiography After Cardiac Arrest? Results at 1 Year

The 1-year outcomes confirm the 90-day finding that early angiography does not offer benefits for cardiac arrest survivors without STEMI.

Whether and when to perform coronary angiography in patients successfully resuscitated from out-of-hospital cardiac arrest remain controversial. The randomized COACT trial examined the difference between immediate and delayed coronary angiography (with percutaneous coronary intervention as needed) in Dutch patients with out-of-hospital cardiac arrest but no ST-segment elevation myocardial infarction (non-STEMI) and found no significant difference in survival at 90 days (NEJM JW Cardiol May 2019 and N Engl J Med 2019; 380:1397; NTR4973). To determine whether immediate angiography would have later benefits, the COACT investigators analyzed outcomes at 1 year in 522 patients (95% of 552 enrolled participants).

Coronary angiography was performed…

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)