[Acute coronary angiography should be considered in patients

Ugeskrift for laeger · Jan 2013

Review

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

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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- Jesper Kjærgaard, John Bro-Jeppesen, Jacob Eifer Møller, Helle Søholm, Lene Holmvang, Michael Wanscher, Freddy Lippert, Søren Boesgaard, and Christian Hassager.
- Hjertemedicinsk Klinik B, B2142, Hjertecentret, Rigshospitalet, Blegdamsvej 9, 2100 København Ø, Denmark. jek@dadlnet.dk
- Ugeskr. Laeg. 2013 Jan 21;175(4):202-5.
AbstractGuidelines 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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[Acute coronary angiography should be considered in patients with ST segment elevation after out-of-hospital cardiac arrest].

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