Impact of Emergency Coronary Angiography on In-Hospital Outcome of Unconscious Survivors After Out-of-Hospital Cardiac Arrest

Impact of Percutaneous Coronary Intervention on in Hospital Mortality in Cardiac Arrest – A National Perspective

“…Result of our study clearly demonstrated improved survival with PCI in cardiac arrest patients, which were also shown in previous studies [5][6][7][8][9][10]24,25]. Statistical significant mortality benefit was also shown to be present in important subgroups including patients presenting with shock, without shock, patients with shockable rhythms (Vtach/Vfib), patients with non-shockable rhythms (Asystole/PEA), older patients (≥80 years ) and patients with high burden of comorbidities as indicated by CCI ≥ 2.…”

“…Numerous studies have been done to establish the role of PCI in post-cardiac arrest patients but outcome is still debatable. There are studies which showed improved survival in patients receiving PCI [5][6][7][8][9][10], on the other hand, some studies showed benefits only in STEMI patients [11,12]. Bulut et al [13] found no mortality benefit of performing PCI at all.…”

Part 5: Acute Coronary Syndromes

“…For the critical outcome of hospital mortality in patients with ROSC after cardiac arrest with ST elevation on ECG, we have identified very-low-quality evidence (downgraded for serious risk of bias and inconsistency and upgraded for large treatment effect) from 15 observational studies [112][113][114][115][116][117][118][119][120][121][122][123][124][125][126] enrolling 3800 patients showing benefit of emergency cardiac catheterization versus cardiac catheterization later in the hospital stay or no catheterization (OR, 0.35; 95% CI, 0.31-0.41) (Figure 13). …”

Major interventions are associated with survival of out of hospital cardiac arrest patients - a population based survey

“…(5-7) To overcome the low survival rate, the concept of an out-of-hospital chain of survival has been established, including 1) early recognition of cardiac arrest and activation of the emergency medical service (EMS) system, 2) early cardiopulmonary resuscitation (CPR) with highlight on high quality chest compressions, 3) early defibrillation, 4) basic and advanced EMS, 5) advanced life support (ALS) and post-cardiac arrest care. (8) Several interventions, such as extracorporeal membrane oxygenation (ECMO), (9,10) target temperature management (TTM), (11,12) and percutaneous coronary intervention, (13,14) have been associated with favorable patient outcomes. In Taiwan, there is limited data on major interventions (TTM, coronary artery angiography, ECMO) and their influence on patient outcomes.…”