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Emergency Angiography for Cardiac Arrest Without ST Elevation?
Patients successfully resuscitated after out-of-hospital cardiac arrest without ST-segment elevation did not benefit from emergency coronary angiography in the randomized EMERGE trial.
For the study, patients there is no ST elevation on the ECG were included, 279 such patients (mean age, 64 years) were randomized to either emergency or delayed (48 to 96 hours) coronary angiography and in these patients the chances of finding a coronary occlusion are lower (around 25% to 35%). The mean time delay between randomization and coronary angiography was 0.6 hours in the emergency group and 55.1 hours in the delayed group.
The primary outcome was the 180-day survival rate with minimal neurological damage, defined as Cerebral Performance Category of 2 or less. This occurred in 34.1% of the emergency angiography group and 30.7% of the delayed angiography group (hazard ratio [HR], 0.87; 95% confidence interval [CI], 0.65 - 1.15; P = .32). There was also no difference in the overall survival rate at 180 days (36.2% versus 33.3%; HR, 0.86; P = .31) and in secondary outcomes between the two groups.
Source: https://www.medscape.com/viewarticle/975434?src=rss
The primary outcome was the 180-day survival rate with minimal neurological damage, defined as Cerebral Performance Category of 2 or less. This occurred in 34.1% of the emergency angiography group and 30.7% of the delayed angiography group (hazard ratio [HR], 0.87; 95% confidence interval [CI], 0.65 - 1.15; P = .32). There was also no difference in the overall survival rate at 180 days (36.2% versus 33.3%; HR, 0.86; P = .31) and in secondary outcomes between the two groups.
Source: https://www.medscape.com/viewarticle/975434?src=rss
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