دورية أكاديمية
Early coronary angiography in patients after out-of-hospital cardiac arrest without ST-segment elevation: Meta-analysis of randomized controlled trials.
| العنوان: | Early coronary angiography in patients after out-of-hospital cardiac arrest without ST-segment elevation: Meta-analysis of randomized controlled trials. |
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| المؤلفون: | Freund A; Department of Internal Medicine/Cardiology, Heart Center Leipzig at the University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.; DZHK (German Center for Cardiovascular Research), Berlin, Germany., van Royen N; Department of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands., Kern KB; Department of Medicine, Sarver Heart Center, University of Arizona, Tucson, USA., Jobs A; Department of Internal Medicine/Cardiology, Heart Center Leipzig at the University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.; DZHK (German Center for Cardiovascular Research), Berlin, Germany.; University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany., Thiele H; Department of Internal Medicine/Cardiology, Heart Center Leipzig at the University of Leipzig and Leipzig Heart Institute, Leipzig, Germany., Lemkes JS; Department of Cardiology, Amsterdam University Medical Center, Amsterdam, the Netherlands., Desch S; Department of Internal Medicine/Cardiology, Heart Center Leipzig at the University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.; DZHK (German Center for Cardiovascular Research), Berlin, Germany.; University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany. |
| مؤلفون مشاركون: | TOMAHAWK, PEARL, and COACT investigators |
| المصدر: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2022 Sep; Vol. 100 (3), pp. 330-337. Date of Electronic Publication: 2022 Jul 28. |
| نوع المنشور: | Journal Article; Meta-Analysis |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Wiley-Liss, c1999- |
| مواضيع طبية MeSH: | Out-of-Hospital Cardiac Arrest*/diagnostic imaging , Out-of-Hospital Cardiac Arrest*/etiology , Out-of-Hospital Cardiac Arrest*/therapy , Percutaneous Coronary Intervention*/adverse effects, Coronary Angiography/methods ; Humans ; Randomized Controlled Trials as Topic ; Time Factors ; Treatment Outcome |
| مستخلص: | Objectives: To compare early coronary angiography to a delayed or selective approach in out-of-hospital cardiac arrest (OHCA) without ST-segment elevation of possible cardiac cause by means of meta-analysis of available randomized controlled trials (RCTs). Methods: We searched MEDLINE and the Cochrane Central Register of Controlled Trials for RCTs comparing early with delayed or selective coronary angiography in OHCA patients of possible cardiac origin without ST-segment elevation. The primary endpoint was all-cause short-term mortality (PROSPERO CRD42021271484). Results: The search strategy identified three RCTs enrolling a total of 1167 patients. An early invasive approach was not associated with improved short-term mortality (odds ratio 1.19, 95% confidence interval 0.94-1.52; p = 0.15). Further, no significant differences were shown with respect to the risk of severe neurological deficit, the composite of all-cause mortality or severe neurological deficit, need for renal replacement therapy due to acute renal failure, and significant bleeding at short-term follow-up. Conclusion: Early coronary angiography in OHCA without ST-segment elevation is not superior compared to a delayed/selective approach. (© 2022 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.) |
| التعليقات: | Comment in: Catheter Cardiovasc Interv. 2022 Sep;100(3):338-339. (PMID: 36084188) |
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| فهرسة مساهمة: | Keywords: coronary angiography; out-of-hospital cardiac arrest; survival |
| تواريخ الأحداث: | Date Created: 20220728 Date Completed: 20220913 Latest Revision: 20220921 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1002/ccd.30355 |
| PMID: | 35900214 |
| قاعدة البيانات: | MEDLINE |
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