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@article{1216771,
author = {Noc, Marko and Fajadet, Jean and Lassen, Jens F. and Kala, Petr and MacCarthy, Philip and Olivecrona, Goran K. and Windecker, Stephan and Spaulding, Christian},
article_location = {Toulouse},
article_number = {1},
doi = {http://dx.doi.org/10.4244/EIJV10I1A7},
keywords = {cardiac arrest; coronary angiography; PCI},
language = {eng},
issn = {1774-024X},
journal = {Eurointervention},
title = {Invasive coronary treatment strategies for out-of-hospital cardiac arrest: a consensus statement from the European Association for Percutaneous Cardiovascular Interventions (EAPCI/Stent for Life (SFL) groups},
volume = {10},
year = {2014}
}
TY - JOUR
ID - 1216771
AU - Noc, Marko - Fajadet, Jean - Lassen, Jens F. - Kala, Petr - MacCarthy, Philip - Olivecrona, Goran K. - Windecker, Stephan - Spaulding, Christian
PY - 2014
TI - Invasive coronary treatment strategies for out-of-hospital cardiac arrest: a consensus statement from the European Association for Percutaneous Cardiovascular Interventions (EAPCI/Stent for Life (SFL) groups
JF - Eurointervention
VL - 10
IS - 1
SP - 31-37
EP - 31-37
PB - Europa edition
SN - 1774024X
KW - cardiac arrest
KW - coronary angiography
KW - PCI
N2 - Due to significant improvement in the pre-hospital treatment of patients with out-of-hospital cardiac arrest (OHCA), an increasing number of initially resuscitated patients are being admitted to hospitals. Because of the limited data available and lack of clear guideline recommendations, experts from the EAPCI and "Stent for Life" (SFL) groups reviewed existing literature and provided practical guidelines on selection of patients for immediate coronary angiography (CAG), PCI strategy, concomitant antiplatelet/anticoagulation treatment, haemodynamic support and use of therapeutic hypothermia. Conscious survivors of OHCA with suspected acute coronary syndrome (ACS) should be treated according to recommendations for ST-segment elevation myocardial infarction (STEMI) and high-risk non-ST-segment elevation -ACS (NSTE-ACS) without OHCA and should undergo immediate (if STEMI) or rapid (less than two hours if NSTE-ACS) coronary invasive strategy. Comatose survivors of OHCA with ECG criteria for STEMI on the post-resuscitation ECG should be admitted directly to the catheterisation laboratory. For patients without STEMI ECG criteria, a short "emergency department or intensive care unit stop" is advised to exclude non-coronary causes. In the absence of an obvious non-coronary cause, CAG should be performed as soon as possible (less than two hours), in particular in haemodynamically unstable patients. Immediate PCI should be mainly directed towards the culprit lesion if identified. Interventional cardiologists should become an essential part of the "survival chain" for patients with OHCA. There is a need to centralise the care of patients with OHCA to experienced centres.
ER -
NOC, Marko, Jean FAJADET, Jens F. LASSEN, Petr KALA, Philip MACCARTHY, Goran K. OLIVECRONA, Stephan WINDECKER a Christian SPAULDING. Invasive coronary treatment strategies for out-of-hospital cardiac arrest: a consensus statement from the European Association for Percutaneous Cardiovascular Interventions (EAPCI/Stent for Life (SFL) groups. \textit{Eurointervention}. Toulouse: Europa edition, 2014, roč.~10, č.~1, s.~31-37. ISSN~1774-024X. Dostupné z: https://dx.doi.org/10.4244/EIJV10I1A7.
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