Specialist Updates 
Cardiology

‘Safe to delay’ angiogram in cardiac arrest survivors without ST elevation

Trial shows there is no mortality benefit of an immediate visit to the cath lab.
Medicom
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1 September 2021
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Interventionist putting in a catheter

AusDoc brings you the latest news from the European Society of Cardiology Congress 2021.

In patients resuscitated from out-of-hospital cardiac arrest who have no evidence of ST-segment elevation at recovery, immediate angiography may not be the best approach, a study suggests.

Immediate angiography in such patients produced no significant reduction in 30-day mortality compared with delayed or selective angiography, the German investigators reported to ESC Congress 2021 and also in an article in The New England Journal of Medicine.

Participants in the TOMAHAWK randomised trial were 554 German and Danish patients aged 30 or older who recovered from out-of-hospital cardiac arrest (OHCA) but showed no ST-segment elevation.

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