Selective Coronary Angiography Following Cardiac Arrest

Sudden cardiac arrest is a major cause of death predominantly caused by ventricular tachyarrhythmia in patients with coronary artery disease. Despite advancements in resuscitation care, the rate of survival after cardiac arrest remains low. There is a growing body of observational data suggesting ea...

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Main Authors: Jayasheel O. Eshcol, Adnan K. Chhatriwalla
Format: Article
Language:English
Published: Compuscript Ltd 2019-06-01
Series:Cardiovascular Innovations and Applications
Online Access:https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0060
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author Jayasheel O. Eshcol
Adnan K. Chhatriwalla
author_facet Jayasheel O. Eshcol
Adnan K. Chhatriwalla
author_sort Jayasheel O. Eshcol
collection DOAJ
description Sudden cardiac arrest is a major cause of death predominantly caused by ventricular tachyarrhythmia in patients with coronary artery disease. Despite advancements in resuscitation care, the rate of survival after cardiac arrest remains low. There is a growing body of observational data suggesting early coronary angiography reduces delay to revascularization and may improve outcomes. Most survivors present comatose, and neurologic outcome is uncertain; therefore it is often challenging to identify patients who will benefit from early coronary angiography. Several variables and risk scores that predict a favorable neurologic outcome have been identified. The rationale and current evidence for early angiography are reviewed, and a suggested approach to the selection of patients is presented.
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spelling doaj.art-09eaf647022f41cfa939e4a51518496a2023-06-28T14:02:09ZengCompuscript LtdCardiovascular Innovations and Applications2009-86182009-87822019-06-01428510.15212/CVIA.2017.0060Selective Coronary Angiography Following Cardiac ArrestJayasheel O. EshcolAdnan K. ChhatriwallaSudden cardiac arrest is a major cause of death predominantly caused by ventricular tachyarrhythmia in patients with coronary artery disease. Despite advancements in resuscitation care, the rate of survival after cardiac arrest remains low. There is a growing body of observational data suggesting early coronary angiography reduces delay to revascularization and may improve outcomes. Most survivors present comatose, and neurologic outcome is uncertain; therefore it is often challenging to identify patients who will benefit from early coronary angiography. Several variables and risk scores that predict a favorable neurologic outcome have been identified. The rationale and current evidence for early angiography are reviewed, and a suggested approach to the selection of patients is presented.https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0060
spellingShingle Jayasheel O. Eshcol
Adnan K. Chhatriwalla
Selective Coronary Angiography Following Cardiac Arrest
Cardiovascular Innovations and Applications
title Selective Coronary Angiography Following Cardiac Arrest
title_full Selective Coronary Angiography Following Cardiac Arrest
title_fullStr Selective Coronary Angiography Following Cardiac Arrest
title_full_unstemmed Selective Coronary Angiography Following Cardiac Arrest
title_short Selective Coronary Angiography Following Cardiac Arrest
title_sort selective coronary angiography following cardiac arrest
url https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2017.0060
work_keys_str_mv AT jayasheeloeshcol selectivecoronaryangiographyfollowingcardiacarrest
AT adnankchhatriwalla selectivecoronaryangiographyfollowingcardiacarrest