Out of hospital cardiac arrest is a common cause of death in both the United States and Europe and coronary artery disease is the most frequent cause of cardiac arrest. Current international guidelines recommend coronary angiography and percutaneous coronary intervention (PCI) on an immediate basis in patients who have evidence of ST-segment elevation myocardial infarction (STEMI) in the setting of cardiac arrest. These guidelines on resuscitative care also recommend the same interventions in post-arrest patients without any evidence of STEMI if they do not have an obvious non-cardiac cause of arrest. However, there is limited evidence to currently support this practice for the patients without STEMI. Current evidence consists only of observational studies with varying outcomes.
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