The majority of patients who are resuscitated from OHCA have a presumed cardiac etiology. One of the key interventions post cardiac arrest is to study the coronary circulation for underlying thrombosis. Some centers do this routinely but at other centers interventional cardiologists are hesitant to do this since the mortality rates are high and so affect their individual and institutional performance measures related to outcome. A large multi-center RCT is need to determine the benefits and optimal timing of this based on symptoms prior to collapse, the initial presenting rhythm and first post-resuscitation ECG.
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