Emergency vs Delayed Cath lab activation!

Cardiology PGY1 PGY2 PGY3 PGY4

There is always a debate in the ED that should we send a patient status post ROSC to cath lab or not. JAMA in July 2022 published a French national multicenter study regarding OHCA patient who had a ROSC to assess cerebral performance category. They enrolled 279 patients and they measured 180 days survival rates. As a conclusion they did not find emergent cath lab activation to be better than delayed cath lab intervention.

Link to article

Early versus deferred coronary angiography following cardiac arrest. A systematic review and meta-analysis – ScienceDirect