Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Current Cardiology Reports
Erschienen in: Current Cardiology Reports 11/2023

24.10.2023 | Interventional Cardiology (SR Bailey and T Helmy, Section Editors)

Indications for Cardiac Catheterization and Percutaneous Coronary Intervention in Patients with Resuscitated Out-of-Hospital Cardiac Arrest

verfasst von: Dhruv Sarma, Jacob C. Jentzer

Erschienen in: Current Cardiology Reports | Ausgabe 11/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The role of emergent cardiac catheterization after resuscitated out-of-hospital cardiac arrest (OHCA) has evolved based on recent randomized evidence. This review aims to discuss the latest evidence and current indications for emergent coronary angiography (CAG) and mechanical circulatory support (MCS) use following OHCA.

Recent Findings

In contrast to previous observational data, recent RCTs evaluating early CAG in resuscitated OHCA patients without ST elevation have uniformly demonstrated a lack of benefit in terms of survival or neurological outcome. There is currently no randomized evidence supporting MCS use specifically in patients with resuscitated OHCA and cardiogenic shock.

Summary

Urgent CAG should be considered in all patients with ST elevation, recurrent electrical or hemodynamic instability, those who are awake following resuscitated OHCA, and those receiving extracorporeal cardiopulmonary resuscitation (ECPR). Recent evidence suggests that CAG may be safely delayed in hemodynamically stable patients without ST-segment elevation following resuscitated OHCA.
Literatur
1.
Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics-2020 update: a report from the American Heart Association. Circulation. 2020;141(9):e139–596.CrossRefPubMed
2.
Fishman GI, Chugh SS, Dimarco JP, Albert CM, Anderson ME, Bonow RO, et al. Sudden cardiac death prediction and prevention: report from a National Heart, Lung, and Blood Institute and Heart Rhythm Society Workshop. Circulation. 2010;122(22):2335–48.PubMedCentralCrossRefPubMed
3.
•• Yannopoulos D, Bartos JA, Aufderheide TP, Callaway CW, Deo R, Garcia S, et al. The evolving role of the cardiac catheterization laboratory in the management of patients with out-of-hospital cardiac arrest: a scientific statement from the American Heart Association. Circulation. 2019;139(12):e530–52. This comprehensive review outlines approaches to coronary angiography, mechanical circulatory support, and catheterization laboratory activation following OHCA.CrossRefPubMed
4.
Panchal AR, Bartos JA, Cabanas JG, Donnino MW, Drennan IR, Hirsch KG, et al. Part 3: adult basic and advanced life support: 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2020;142(16_suppl_2):S366-S468.
5.
Collet JP, Thiele H, Barbato E, Barthelemy O, Bauersachs J, Bhatt DL, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021;42(14):1289–367.CrossRefPubMed
6.
Panchal AR, Berg KM, Hirsch KG, Kudenchuk PJ, Del Rios M, Cabanas JG, et al. 2019 American Heart Association focused update on advanced cardiovascular life support: use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest: an update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2019;140(24):e881–94.PubMed
7.
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119–77.CrossRefPubMed
8.
Freund A, van Royen N, Kern KB, Jobs A, Thiele H, Lemkes JS, et al. Early coronary angiography in patients after out-of-hospital cardiac arrest without ST-segment elevation: meta-analysis of randomized controlled trials. Catheter Cardiovasc Interv. 2022;100(3):330–7.CrossRefPubMed
9.
Vallabhajosyula S, Dunlay SM, Prasad A, Sangaralingham LR, Kashani K, Shah ND, et al. Cardiogenic shock and cardiac arrest complicating ST-segment elevation myocardial infarction in the United States, 2000–2017. Resuscitation. 2020;155:55–64.CrossRefPubMed
10.
Vallabhajosyula S, Payne SR, Jentzer JC, Sangaralingham LR, Yao X, Kashani K, et al. Long-term outcomes of acute myocardial infarction with concomitant cardiogenic shock and cardiac arrest. Am J Cardiol. 2020;133:15–22.CrossRefPubMed
11.
El-Zein RS, Kennedy KF, Chan PS. Out-of-hospital cardiac arrest survival when CPR is initiated by first responders. Resuscitation. 2023:109914.
12.
Fordyce CB, Wang TY, Chen AY, Thomas L, Granger CB, Scirica BM, et al. Long-term post-discharge risks in older survivors of myocardial infarction with and without out-of-hospital cardiac arrest. J Am Coll Cardiol. 2016;67(17):1981–90.CrossRefPubMed
13.
Radsel P, Knafelj R, Kocjancic S, Noc M. Angiographic characteristics of coronary disease and postresuscitation electrocardiograms in patients with aborted cardiac arrest outside a hospital. Am J Cardiol. 2011;108(5):634–8.CrossRefPubMed
14.
Burstein B, Jentzer JC. Comprehensive cardiac care after cardiac arrest. Crit Care Clin. 2020;36(4):771–86.CrossRefPubMed
15.
Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care. Perioperative and Resuscitation Circulation. 2015;132(13):1286–300.PubMed
16.
17.
• Jentzer JC, van Diepen S, Henry TD. Understanding how cardiac arrest complicates the analysis of clinical trials of cardiogenic shock. Circ Cardiovasc Qual Outcomes. 2020;13(9):e006692. This literature review delineates several issues complicating clinical trial design and interpretation in patients with cardiac arrest and cardiogenic shock.CrossRefPubMed
18.
Kern KB, Lotun K, Patel N, Mooney MR, Hollenbeck RD, McPherson JA, et al. Outcomes of comatose cardiac arrest survivors with and without ST-segment elevation myocardial infarction: importance of coronary angiography. JACC Cardiovasc Interv. 2015;8(8):1031–40.CrossRefPubMed
19.
Dumas F, Bougouin W, Geri G, Lamhaut L, Rosencher J, Pene F, et al. Emergency percutaneous coronary intervention in post-cardiac arrest patients without ST-segment elevation pattern: insights from the PROCAT II Registry. JACC Cardiovasc Interv. 2016;9(10):1011–8.CrossRefPubMed
20.
• Yannopoulos D, Bartos JA, Raveendran G, Conterato M, Frascone RJ, Trembley A, et al. Coronary artery disease in patients with out-of-hospital refractory ventricular fibrillation cardiac arrest. J Am Coll Cardiol. 2017;70(9):1109–17. This original study describes the incidence of acute coronary occlusion among patients with refractory ventricular fibrillation treated with extracorporeal CPR.CrossRefPubMed
21.
Lamhaut L, Tea V, Raphalen JH, An K, Dagron C, Jouffroy R, et al. Coronary lesions in refractory out of hospital cardiac arrest (OHCA) treated by extra corporeal pulmonary resuscitation (ECPR). Resuscitation. 2018;126:154–9.CrossRefPubMed
22.
Harhash AA, May T, Hsu CH, Seder DB, Dankiewicz J, Agarwal S, et al. Incidence of cardiac interventions and associated cardiac arrest outcomes in patients with nonshockable initial rhythms and no ST elevation post resuscitation. Resuscitation. 2021;167:188–97.CrossRefPubMed
23.
Patel N, Patel NJ, Macon CJ, Thakkar B, Desai M, Rengifo-Moreno P, et al. Trends and outcomes of coronary angiography and percutaneous coronary intervention after out-of-hospital cardiac arrest associated with ventricular fibrillation or pulseless ventricular tachycardia. JAMA Cardiol. 2016;1(8):890–9.CrossRefPubMed
24.
Vallabhajosyula S, Jentzer JC, Prasad A, Sangaralingham LR, Kashani K, Shah ND, et al. Epidemiology of cardiogenic shock and cardiac arrest complicating non-ST-segment elevation myocardial infarction: 18-year US study. ESC Heart Fail. 2021;8(3):2259–69.PubMedCentralCrossRefPubMed
25.
Balian S, Buckler DG, Blewer AL, Bhardwaj A, Abella BS, Group CS. Variability in survival and post-cardiac arrest care following successful resuscitation from out-of-hospital cardiac arrest. Resuscitation. 2019;137:78–86.CrossRef
26.
• Atreya AR, Patlolla SH, Devireddy CM, Jaber WA, Rab ST, Nicholson WJ, et al. Geographic variation and temporal trends in management and outcomes of cardiac arrest complicating acute myocardial infarction in the United States. Resuscitation. 2022;170:339–48. This registry-based analysis highlights geographic differences in the care of patients with acute myocardial infarction and OHCA across the United States.CrossRefPubMed
27.
Jorge-Perez P, Nikolaou N, Donadello K, Khoury A, Behringer W, Hassager C, et al. Management of comatose survivors of out-of-hospital cardiac arrest in Europe: current treatment practice and adherence to guidelines. A joint survey by the Association for Acute CardioVascular Care (ACVC) of the ESC, the European Resuscitation Council (ERC), the European Society for Emergency Medicine (EUSEM), and the European Society of Intensive Care Medicine (ESICM). Eur Heart J Acute Cardiovasc Care. 2023;12(2):96–105.
28.
Dumas F, Manzo-Silberman S, Fichet J, Mami Z, Zuber B, Vivien B, et al. Can early cardiac troponin I measurement help to predict recent coronary occlusion in out-of-hospital cardiac arrest survivors? Crit Care Med. 2012;40(6):1777–84.CrossRefPubMed
29.
Staer-Jensen H, Nakstad ER, Fossum E, Mangschau A, Eritsland J, Draegni T, et al. Post-resuscitation ECG for selection of patients for immediate coronary angiography in out-of-hospital cardiac arrest. Circ Cardiovasc Interv. 2015;8(10).
30.
Abrams D, MacLaren G, Lorusso R, Price S, Yannopoulos D, Vercaemst L, et al. Extracorporeal cardiopulmonary resuscitation in adults: evidence and implications. Intensive Care Med. 2022;48(1):1–15.CrossRefPubMed
31.
Suverein MM, Delnoij TSR, Lorusso R, Brandon Bravo Bruinsma GJ, Otterspoor L, Elzo Kraemer CV, et al. Early extracorporeal CPR for refractory out-of-hospital cardiac arrest. N Engl J Med. 2023;388(4):299–309.
32.
Yannopoulos D, Bartos J, Raveendran G, Walser E, Connett J, Murray TA, et al. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial. Lancet. 2020;396(10265):1807–16.PubMedCentralCrossRefPubMed
33.
Kern KB, Radsel P, Jentzer JC, Seder DB, Lee KS, Lotun K, et al. Randomized pilot clinical trial of early coronary angiography versus no early coronary angiography after cardiac arrest without ST-segment elevation: the PEARL study. Circulation. 2020;142(21):2002–12.CrossRefPubMed
34.
•• Desch S, Freund A, Akin I, Behnes M, Preusch MR, Zelniker TA, et al. Angiography after out-of-hospital cardiac arrest without ST-segment elevation. N Engl J Med. 2021;385(27):2544–53. Findings from the TOMAHAWK trial demonstrated that CAG can be safely deferred in patients with resuscitated OHCA who are hemodynamically stable and without ST elevation on their post-ROSC ECG.CrossRefPubMed
35.
•• Lemkes JS, Janssens GN, van der Hoeven NW, Jewbali LSD, Dubois EA, Meuwissen M, et al. Coronary angiography after cardiac arrest without ST-segment elevation. N Engl J Med. 2019;380(15):1397–407. The COACT RCT demonstrated no significant difference in outcome between an emergent and deferred coronary angiography strategy amongst patients with resuscitated OHCA and no ST elevation.CrossRefPubMed
36.
Lemkes JS, Janssens GN, van der Hoeven NW, Jewbali LSD, Dubois EA, Meuwissen MM, et al. Coronary angiography after cardiac arrest without ST segment elevation: one-year outcomes of the COACT randomized clinical trial. JAMA Cardiol. 2020;5(12):1358–65.CrossRefPubMed
37.
Desch S, Freund A, Akin I, Behnes M, Preusch MR, Zelniker TA, et al. Coronary angiography after out-of-hospital cardiac arrest without ST-segment elevation: one-year outcomes of a randomized clinical trial. JAMA Cardiol. 2023.
38.
Hauw-Berlemont C, Lamhaut L, Diehl JL, Andreotti C, Varenne O, Leroux P, et al. Emergency vs delayed coronary angiogram in survivors of out-of-hospital cardiac arrest: results of the randomized, multicentric EMERGE trial. JAMA Cardiol. 2022;7(7):700–7.PubMedCentralCrossRefPubMed
39.
Camuglia AC, Randhawa VK, Lavi S, Walters DL. Cardiac catheterization is associated with superior outcomes for survivors of out of hospital cardiac arrest: review and meta-analysis. Resuscitation. 2014;85(11):1533–40.CrossRefPubMed
40.
Welsford M, Bossard M, Shortt C, Pritchard J, Natarajan MK, Belley-Cote EP. Does early coronary angiography improve survival after out-of-hospital cardiac arrest? A systematic review with meta-analysis. Can J Cardiol. 2018;34(2):180–94.CrossRefPubMed
41.
Vyas A, Chan PS, Cram P, Nallamothu BK, McNally B, Girotra S. Early coronary angiography and survival after out-of-hospital cardiac arrest. Circ Cardiovasc Interv. 2015;8(10).
42.
Roy R, Shah AM, MacCarthy P, Byrne J, Pareek N. Limited external applicability of the COACT and TOMAHAWK trials: a multicenter study. JACC Cardiovasc Interv. 2022;15(13):1388–91.CrossRefPubMed
43.
Sinning C, Ahrens I, Cariou A, Beygui F, Lamhaut L, Halvorsen S, et al. The cardiac arrest centre for the treatment of sudden cardiac arrest due to presumed cardiac cause - aims, function and structure: position paper of the Association for Acute CardioVascular Care of the European Society of Cardiology (AVCV), European Association of Percutaneous Coronary Interventions (EAPCI), European Heart Rhythm Association (EHRA), European Resuscitation Council (ERC), European Society for Emergency Medicine (EUSEM) and European Society of Intensive Care Medicine (ESICM). Eur Heart J Acute Cardiovasc Care. 2020;9(4_suppl):S193-S202.
44.
Panchal AR, Berg KM, Cabanas JG, Kurz MC, Link MS, Del Rios M, et al. 2019 American Heart Association focused update on systems of care: dispatcher-assisted cardiopulmonary resuscitation and cardiac arrest centers: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2019;140(24):e895–903.PubMed
45.
•• Patterson T, Perkins GD, Perkins A, Clayton T, Evans R, Dodd M, et al. Expedited transfer to a cardiac arrest centre for non-ST-elevation out-of-hospital cardiac arrest (ARREST): a UK prospective, multicentre, parallel, randomised clinical trial. The Lancet. 2023. The ARREST trial reported no difference in outcomes among resuscitated OHCA patients without ST elevation transferred up-front to a cardiac arrest center, compared with those treated initially at the closest hospital.
46.
Hochman JS, Sleeper LA, Webb JG, Sanborn TA, White HD, Talley JD, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. N Engl J Med. 1999;341(9):625–34.
47.
Thiele H, Akin I, Sandri M, Fuernau G, de Waha S, Meyer-Saraei R, et al. PCI strategies in patients with acute myocardial infarction and cardiogenic shock. N Engl J Med. 2017;377(25):2419–32.CrossRefPubMed
48.
• Zeymer U, Alushi B, Noc M, Mamas MA, Montalescot G, Fuernau G, et al. Influence of culprit lesion intervention on outcomes in infarct-related cardiogenic shock with cardiac arrest. J Am Coll Cardiol. 2023;81(12):1165–76. This post hoc analysis of the CULPRIT-SHOCK trial confirmed the superiority of an initial culprit-vessel-only revascularization strategy in the sub-group of cardiogenic shock patients with cardiac arrest.
49.
Garcia S, Drexel T, Bekwelem W, Raveendran G, Caldwell E, Hodgson L, et al. Early access to the cardiac catheterization laboratory for patients resuscitated from cardiac arrest due to a shockable rhythm: the Minnesota Resuscitation Consortium Twin Cities Unified Protocol. J Am Heart Assoc. 2016;5(1).
50.
Adrie C, Cariou A, Mourvillier B, Laurent I, Dabbane H, Hantala F, et al. Predicting survival with good neurological recovery at hospital admission after successful resuscitation of out-of-hospital cardiac arrest: the OHCA score. Eur Heart J. 2006;27(23):2840–5.CrossRefPubMed
51.
Maupain C, Bougouin W, Lamhaut L, Deye N, Diehl JL, Geri G, et al. The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest. Eur Heart J. 2016;37(42):3222–8.CrossRefPubMed
52.
Martinell L, Nielsen N, Herlitz J, Karlsson T, Horn J, Wise MP, et al. Early predictors of poor outcome after out-of-hospital cardiac arrest. Crit Care. 2017;21(1):96.PubMedCentralCrossRefPubMed
53.
Coppler PJ, Elmer J, Calderon L, Sabedra A, Doshi AA, Callaway CW, et al. Validation of the Pittsburgh Cardiac Arrest Category illness severity score. Resuscitation. 2015;89:86–92.PubMedCentralCrossRefPubMed
54.
• Pareek N, Kordis P, Beckley-Hoelscher N, Pimenta D, Kocjancic ST, Jazbec A, et al. A practical risk score for early prediction of neurological outcome after out-of-hospital cardiac arrest: MIRACLE2. Eur Heart J. 2020;41(47):4508–17. This article reports the development and validation of the MIRACLE2 score, which uses clinical data observable on admission to predict the risk of poor neurologic outcome in comatose patients with resuscitated OHCA.CrossRefPubMed
55.
• Pareek N, Beckley-Hoelscher N, Kanyal R, Cannata A, Kordis P, Sunderland N, et al. MIRACLE(2) Score and SCAI Grade to identify patients with out-of-hospital cardiac arrest for immediate coronary angiography. JACC Cardiovasc Interv. 2022;15(10):1074–84. This observational study found that, in a sub-group of patients with high SCAI shock stage and low MIRACLE2 score, early coronary angiography was associated with improved neurological outcomes at discharge.CrossRefPubMed
56.
Sandroni C, Cariou A, Cavallaro F, Cronberg T, Friberg H, Hoedemaekers C, et al. Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine. Resuscitation. 2014;85(12):1779–89.CrossRefPubMed
57.
Sarma D, Tabi M, Jentzer JC. Society for cardiovascular angiography and intervention shock classification predicts mortality after out-of-hospital cardiac arrest. Resuscitation. 2022;172:101–5.CrossRefPubMed
58.
Thiele H, Zeymer U, Neumann FJ, Ferenc M, Olbrich HG, Hausleiter J, et al. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med. 2012;367(14):1287–96.CrossRefPubMed
59.
Karami M, Eriksen E, Ouweneel DM, Claessen BE, Vis MM, Baan J, et al. Long-term 5-year outcome of the randomized IMPRESS in severe shock trial: percutaneous mechanical circulatory support vs. intra-aortic balloon pump in cardiogenic shock after acute myocardial infarction. Eur Heart J Acute Cardiovasc Care. 2021;10(9):1009–15.
60.
•• Thiele H, Zeymer U, Akin I, Behnes M, Rassaf T, Mahabadi AA, et al. Extracorporeal life support in infarct-related cardiogenic shock. N Engl J Med. 2023. The results of the ECLS-SHOCK trial showed that among patients with CS and acute MI undergoing revascularization, 77% of whom had sustained a cardiac arrest; routine early implementation of ECMO did not improve 30-day mortality.
61.
Sarma D, Jentzer JC, Soussi S. Cardiogenic shock: a major challenge for the clinical trialist. Curr Opin Crit Care. 2023;29(4):371–80.CrossRefPubMed
62.
Ostadal P, Rokyta R, Karasek J, Kruger A, Vondrakova D, Janotka M, et al. Extracorporeal membrane oxygenation in the therapy of cardiogenic shock: results of the ECMO-CS randomized clinical trial. Circulation. 2023;147(6):454–64.CrossRefPubMed
63.
Elfwen L, Lagedal R, Nordberg P, James S, Oldgren J, Bohm F, et al. Direct or subacute coronary angiography in out-of-hospital cardiac arrest (DISCO)-an initial pilot-study of a randomized clinical trial. Resuscitation. 2019;139:253–61.CrossRefPubMed
64.
Elmer J, Coppler PJ, May TL, Hirsch K, Faro J, Solanki P, et al. Unsupervised learning of early post-arrest brain injury phenotypes. Resuscitation. 2020;153:154–60.PubMedCentralCrossRefPubMed
65.
Waldo SW, Chang L, Strom JB, O'Brien C, Pomerantsev E, Yeh RW. Predicting the presence of an acute coronary lesion among patients resuscitated from cardiac arrest. Circ Cardiovasc Interv. 2015;8(10).
66.
Pareek N, Frohmaier C, Smith M, Kordis P, Cannata A, Nevett J, et al. A machine learning algorithm to predict a culprit lesion after out of hospital cardiac arrest. Catheter Cardiovasc Interv. 2023;102(1):80–90.CrossRefPubMed
67.
Gentile FR, Baldi E, Klersy C, Schnaubelt S, Caputo ML, Clodi C, et al. Association between postresuscitation 12-lead ECG features and early mortality after out-of-hospital cardiac arrest: a post hoc subanalysis of the PEACE study. J Am Heart Assoc. 2023;12(10):e027923.PubMedCentralCrossRefPubMed
68.
Jentzer JC, Rayfield C, Soussi S, Berg DD, Kennedy JN, Sinha SS, et al. Advances in the staging and phenotyping of cardiogenic shock. JACC: Advances. 2022;1(4):100120.
69.
• Jentzer JC, Rayfield C, Soussi S, Berg DD, Kennedy JN, Sinha SS, et al. Machine learning approaches for phenotyping in cardiogenic shock and critical illness. JACC: Advances. 2022;1(4):100126. This comprehensive review article outlines approaches to disease sub-phenotyping in patients with cardiogenic shock and critical illnesses, many of which are applicable to patients with OHCA.
70.
Writing Committee M, Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, et al. 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: executive summary: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. J Am Coll Cardiol. 2022;79(2):197–215.CrossRef
71.
Rab T, Kern KB, Tamis-Holland JE, Henry TD, McDaniel M, Dickert NW, et al. Cardiac arrest: a treatment algorithm for emergent invasive cardiac procedures in the resuscitated comatose patient. J Am Coll Cardiol. 2015;66(1):62–73.CrossRefPubMed
Metadaten
Titel
Indications for Cardiac Catheterization and Percutaneous Coronary Intervention in Patients with Resuscitated Out-of-Hospital Cardiac Arrest
verfasst von
Dhruv Sarma
Jacob C. Jentzer
Publikationsdatum
24.10.2023
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 11/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-023-01980-w

Weitere Artikel der Ausgabe 11/2023

Current Cardiology Reports 11/2023 Zur Ausgabe

Cardiometabolic Disease (DM and CV) (CJ Lavie, Section Editor)

Optimum Dose of Resistance Exercise for Cardiovascular Health and Longevity: Is More Better?

Hypertension (DS Geller and DL Cohen, Section Editors)

Congenital Cyanotic Heart Disease and the Association with Pheochromocytomas and Paragangliomas

Invasive Electrophysiology and Pacing (EK Heist, Section Editor)

Index-Guided High-Power Radiofrequency Catheter Ablation for Atrial Fibrillation: A Systematic Review and Meta-Analysis Study

Cardiac PET, CT, and MRI (P Cremer, Section Editor)

Preventative Imaging with Coronary Computed Tomography Angiography

Heart Failure (HJ Eisen, Section Editor)

Genetic Engineering of Donor Pig for the First Human Cardiac Xenotransplantation: Combatting Rejection, Coagulopathy, Inflammation, and Excessive Growth

Women and Cardiovascular Health (N Goldberg and S Lewis, Section Editors)

Contraception and Cardiovascular Effects: What Should the Cardiologist Know?

Neu im Fachgebiet Kardiologie

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

Erhöhtes Risiko fürs Herz unter Checkpointhemmer-Therapie

28.05.2024 Nebenwirkungen der Krebstherapie Nachrichten

Kardiotoxische Nebenwirkungen einer Therapie mit Immuncheckpointhemmern mögen selten sein – wenn sie aber auftreten, wird es für Patienten oft lebensgefährlich. Voruntersuchung und Monitoring sind daher obligat.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen