[Acute coronary angiography should be considered in patients with ST segment elevation after out-of-hospital cardiac arrest]

Jesper Kjærgaard, John Bro-Jeppesen, Jacob Eifer Møller, Helle Søholm, Lene Holmvang, Michael Wanscher, Freddy Lippert, Søren Boesgaard, Christian Hassager
Ugeskrift for Laeger 2013 January 21, 175 (4): 202-5
Guidelines suggest that acute coronary angiography (CAG) is considered in patients resuscitated from out-of-hospital cardiac arrest with presumed cardiac aetiology. Since specialized post-resuscitation care, including therapeutic hypothermia, has proved beneficial in randomized studies, CAG should be offered to patients with a high likelihood of thrombotic coronary lesions, i.e. patients with ST-segment elevation in electrocardiogram (ECG) following resuscitation. This article suggests a triage and referral based on electronic transmission of ECG and teleconference with specialized centres in all patients.

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