Cardiac Arrest Treatment Algorithm | Five Points to Remember
- Rab T, Kern KB, Tamis-Holland JE, et al., on behalf of the Interventional Council, American College of Cardiology.
- Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient. J Am Coll Cardiol 2015;66:62-73.
The following are five points to remember from the American College of Cardiology’s Interventional Council regarding a treatment algorithm for emergent invasive cardiac procedures in the resuscitated comatose patient:
- There needs to be an easily implementable algorithm to identify resuscitated comatose patients following cardiac arrest who are appropriate candidates for emergent coronary angiography.
- Urgent consultation and evaluation by a multidisciplinary team, including the interventional cardiologist, should occur before the patient is transferred to the catheterization laboratory, and early initiation of therapeutic hypothermia is strongly recommended.
- The Interventional Council emphasizes their viewpoint and explicitly recommends without reservation that percutaneous coronary intervention (PCI) outcomes in cardiac arrest patients not be included in public reporting.
- A national platform for tracking outcomes of cardiac arrest patients undergoing PCI is needed and should distinguish patients with and without ST-segment elevation.
- Randomized, controlled trials of early PCI in post-cardiac arrest patients without ST-segment elevation are needed.
Clinical Topics: Acute Coronary Syndromes, Arrhythmias and Clinical EP, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Interventions and ACS, Interventions and Imaging, Angiography, Nuclear Imaging
Keywords: Acute Coronary Syndrome, Algorithms, Arrhythmias, Cardiac, Cardiopulmonary Resuscitation, Catheterization, Coma, Coronary Angiography, Heart Arrest, Out-of-Hospital Cardiac Arrest, Heart Conduction System, Hypothermia, Induced, Percutaneous Coronary Intervention, Referral and Consultation, Resuscitation
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