Primary coronary angioplasty for acute myocardial infarction complicated by out-of-hospital cardiac arrest

Impact of Percutaneous Coronary Intervention on in Hospital Mortality in Cardiac Arrest – A National Perspective

“…Our study also supported mortality benefits in cardiac arrest patients presenting without shock. Our finding of Mortality benefit of PCI in cardiac arrest patients without STEMI contradicted previous literature [11,12]. In fact, impact of PCI was comparable in both STEMI and NSTEMI subgroups.…”

“…Numerous studies have been done to establish the role of PCI in post-cardiac arrest patients but outcome is still debatable. There are studies which showed improved survival in patients receiving PCI [5][6][7][8][9][10], on the other hand, some studies showed benefits only in STEMI patients [11,12]. Bulut et al [13] found no mortality benefit of performing PCI at all.…”

Part 10: Acute Coronary Syndromes

“…PCI is feasible following ROSC, and almost 50% of cardiac arrest survivors have an acute thrombotic occlusion, or culprit lesion, that is amenable to reperfusion. 217,[221][222][223][224][225][226][227][228][229][230][231][232][233][234][235] In addition, successful PCI can result in improved cardiac ejection fraction and survival. 217 Cardiac catheterization alone (without PCI) has been associated with improved neurologically intact survival.…”

2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive Summary

“…The reader is encouraged to consult the full-text guideline 4 for additional guidance and details about the care of the patient with ST-elevation myocardial infarction (STEMI), because the Executive Summary contains only the recommendations. Guidelines are official policy of both the ACCF and AHA.…”