Cardiac arrest & resuscitation

Electrocardiographic characteristics fail to predict acute coronary occlusions in out-of-hospital cardiac-arrest patients without ST-segment elevation

ResuscitationPublished Secondary analysis of the PEARL randomised trial

Authors' conclusion

Electrocardiogram findings cannot exclude or identify the presence of an acutely occluded coronary in out-of-hospital-cardiac-arrest patients without ST-segment elevation. An acutely occluded coronary may be present regardless of normal electrocardiogram findings.

Study context

Population
OHCA patients without ST-segment elevation on post-resuscitation ECGof 99 randomised
Participants
74 patients
Comparison
Initial post-resuscitation ECG findings vs presence of acute coronary occlusion
Primary endpoint
Association of initial post-resuscitation ECG findings with presence of acute coronary occlusion

Primary result

As reported in the abstract

Acute coronary occlusion
  • ST-depression, T-wave inversion, bundle branch block, non-specific changes not associated with acutely occluded coronary
  • Normal ECG findings not associated with presence or absence of acute coronary occlusion

Further findings

Normal post-resuscitation ECG findings associated with survival to hospital discharge

Original publication

Electrocardiographic characteristics fail to predict acute coronary occlusions in out-of-hospital cardiac-arrest patients without ST-segment elevation. Resuscitation. Published 11 May 2023. doi:10.1016/j.resuscitation.2023.109826

Composed by AI from the published abstract and checked against it. How Briefs are made →

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