Cardiac arrest & resuscitation
Coronary angiography findings in patients with refractory out-of-hospital cardiac arrest treated with extracorporeal cardiopulmonary resuscitation: prediction of lesion culprit of acute myocardial infarction
Authors' conclusion
These findings suggest that clinical characteristics available at admission can help predict the presence of an infarct-related culprit lesion in patients with r-OHCA, thereby refining the decision-making process for emergent CAG.
Study context
- Population
- Patients with refractory OHCA (refractory Out-of-hospital Cardiac Arrest (r-OHCA)) treated with extracorporeal cardiopulmonary resuscitation (ECPR)
- Participants
- 129 patients
- Outcome
- Presence of a culprit lesion of acute MI (predictors at admission)
Main finding
As reported in the abstract
Independent predictors of an AMI culprit lesion (multivariable logistic regression)
Odds ratio (95 % CI)
Male sex
4.02(1.14–15.08)
Age
1.08(1.03–1.13)
Chest pain before cardiac arrest
5.58(1.95–15.93)
Obesitylower likelihood
0.32(0.10–1.01)
- History of heart failure · lower likelihood
- OR 0.02 (95 % CI 0.00–0.16)
- Model AUC
- 0.87
Observational data: associations, not effects.
Original publication
Coronary angiography findings in patients with refractory out-of-hospital cardiac arrest treated with extracorporeal cardiopulmonary resuscitation: prediction of lesion culprit of acute myocardial infarction. Resuscitation. Published 14 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →