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