Abstract
Patients with sudden cardiac arrest who regain consciousness after ROSC should undergo immediate coronary angiography unless obvious non-coronary cause is identified. Revascularization strategy should follow the guidelines for acute coronary syndromes and stable coronary disease for patients without preceding cardiac arrest. In comatose survivors of cardiac arrest, immediate coronary angiography should be performed if there is no obvious non-coronary cause and there is realistic hope for neurological recovery. Due to uncertain neurological outcome, immediate percutaneous revascularization should be focused on obvious acute thrombotic lesions followed by staged intervention if patient wakes from the coma.
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Radsel, P., Noc, M. (2014). Reperfusion Strategies in Sudden Cardiac Arrest. In: Gullo, A., Ristagno, G. (eds) Resuscitation. Springer, Milano. https://doi.org/10.1007/978-88-470-5507-0_10
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DOI: https://doi.org/10.1007/978-88-470-5507-0_10
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