Podcast 728: Angiography for Out-of-Hospital Cardiac Arrest without ST Elevation

<p><strong>Contributor: Nick Tsipis, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Meaningful survival under 10% for out of hospital cardiac arrest</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">The most common cause of out-of-hospital cardiac arrest is due to cardiac ischemia</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Study looked at whether taking patients without ST elevation who had an out-of-hospital cardiac arrest with return of spontaneous circulation (ROSC) should receive angiography upon arrival to the hospital</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Took 530 patients and randomized to early vs. delayed angiography after resuscitation from out-of-hospital arrest</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Found no benefit to early angiography using 30-day all-cause risk of death as the primary endpoint</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Desch S, Freund A, Akin I, et al. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation [published online ahead of print, 2021 Aug 29]. N Engl J Med. 2021;10.1056/NEJMoa2101909. doi:10.1056/NEJMoa2101909</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span style= "font-weight: 400;">https://emergencymedicalminute.org/cme-courses/</span></a> <span style=