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Coronary angiography or not after cardiac arrest without ST segment elevation: A systematic review and meta-analysis.


ABSTRACT:

Objective

This meta-analysis aimed to review the available evidence and evaluate the necessity of immediate coronary angiography (CAG) to obtain positive outcomes for out-of-hospital cardiac arrest (OHCA) patients without ST segment elevation.

Data sources

Web of Science, PubMed, Embase, Chinese National Knowledge Infrastructure, Wanfang, and SinoMed databases.

Study selection

We included observational and case-control studies of outcomes among individuals without ST segment elevation experiencing OHCA who had immediate, delayed, or no CAG.

Data extraction

We extracted study details, as well as patient characteristics and outcomes.

Data synthesis

Six studies (n?=?2665) investigating mortality until discharge demonstrated a significant increase in survival benefit with early CAG (odds ratio [OR]?=?1.78; 95%CI?=?1.51-2.11; I?=?81%; P?ConclusionsOur meta-analysis demonstrates that there may be significant benefits in performing immediate CAG on patients who experience OHCA without ST segment elevation.

SUBMITTER: Yang MC 

PROVIDER: S-EPMC7544299 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Publications

Coronary angiography or not after cardiac arrest without ST segment elevation: A systematic review and meta-analysis.

Yang Meng-Chang MC   Meng-Jun Wu W   Xiao-Yan Xu X   Peng Kevin L KL   Peng Yong G YG   Wang Ru-Rong RR  

Medicine 20201001 41


<h4>Objective</h4>This meta-analysis aimed to review the available evidence and evaluate the necessity of immediate coronary angiography (CAG) to obtain positive outcomes for out-of-hospital cardiac arrest (OHCA) patients without ST segment elevation.<h4>Data sources</h4>Web of Science, PubMed, Embase, Chinese National Knowledge Infrastructure, Wanfang, and SinoMed databases.<h4>Study selection</h4>We included observational and case-control studies of outcomes among individuals without ST segmen  ...[more]

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