Early recurrent arrhythmias after out-of-hospital cardiac arrest associated with obstructive coronary artery disease: Analysis of the PROCAT registry

Focused cardiac ultrasound after return of spontaneous circulation in cardiac-arrest patients

“…Considering the high burden of ischemic heart disease in OHCA patients, coronary angiography is a reasonable diagnostic procedure after ROSC, but there are inherent logistical and organizational challenges as a result of variable availability of coronary angiography facilities between hospitals and regions. If a culprit lesion is detected, subsequent PCI could be performed and might salvage myocardial muscle, improve ventricular function and prevent the recurrence of ventricular arrhythmias 170 . However, the recurrence of ventricular arrhythmias is frequent during the first 24 h after ICU admission even in revascularized patients probably because of ischemia-reperfusion injuries 170 .…”

“…If a culprit lesion is detected, subsequent PCI could be performed and might salvage myocardial muscle, improve ventricular function and prevent the recurrence of ventricular arrhythmias 170 . However, the recurrence of ventricular arrhythmias is frequent during the first 24 h after ICU admission even in revascularized patients probably because of ischemia-reperfusion injuries 170 .…”