Goal 2: Reduce Human Disease

Timing of post-cardiac arrest PCI

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.

Tags (Keywords associated with the idea)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Compelling Question (CQ)

Details on the impact of addressing this CQ or CC :

There is variability in practice and no large scale level 1 evidence as to what is the best to do with regards to post ROSC care and PCI as well as timing of the PCI

Feasibility and challenges of addressing this CQ or CC :

Will require funding, broad cooperation between cardiologists and emergency medical services as well as critical care. National groups that conduct performance measures for survival following PCI need to readdress the use of such measures in this group of patients (post-arrest)

Name of idea submitter and other team members who worked on this idea : Mohamud Daya

Voting

-1 net votes
2 up votes
3 down votes
Active
Idea No. 959