🫀 Mirza's Cardiology Notes

Cardiac Arrest

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Management Post-Arrest

  • Patients who have been resuscitated after cardiac arrest and are noncomatose or who are comatose with favorable prognostic features and with evidence of STEMI, should undergo PPCI to improve survival. (Class I) 1
  • In patients with cardiac arrest who are comatose, have unfavorable prognostic features, and evidence of STEMI, PPCI may be reasonable after individualized assessment. (Class 2b) 1
  • In resuscitated patients who are comatose after cardiac arrest, electrically and hemodynamically stable, and without evidence of STEMI, immediate angiography is not recommended due to lack of benefit. (Class 3) 1

Footnotes

  1. Rao, Sunil V., et al. “2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.” Circulation, vol. 151, no. 13, Apr. 2025. DOI.org (Crossref), https://doi.org/10.1161/CIR.0000000000001309. ↩ ↩2 ↩3

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