MIRACLE2 score and SCAI grade to identify patients with out-of-hospital cardiac arrest for immediate coronary angiography
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Authors
Pareek, Nilesh
Beckley-Hoelscher, Nicholas
Kanyal, Ritesh
Cannata, Antonio
Kordis, Peter
Sunderland, Nicholas
Kirresh, Ali
Nevett, Joanne
Fothergill, Rachael
Webb, Ian
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Issue Date
2022
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Article
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Abstract
OBJECTIVES: The purpose of this study was to evaluate the impact of performing immediate coronary angiography (CAG) after out-of-hospital cardiac arrest (OHCA) with stratification of predicted neurologic injury and cardiogenic shock on arrival to a center. BACKGROUND: The role of immediate CAG for patients with OHCA is unclear, which may in part be explained by the majority of patients dying of hypoxic brain injury. METHODS: Between May 2012 and July 2020, patients from 5 European centers were included in the EUCAR (European Cardiac Arrest Registry). Patients were retrospectively classified into low vs high neurologic risk (MIRACLE RESULTS: Nine hundred twenty-six patients were included in the registry, with 405 (43.7%) in the low-risk group and 521 (56.3%) in the high-risk group. Immediate CAG was independently associated with improved survival with good neurologic outcome in the low MIRACLE CONCLUSIONS: Combined classification of patients with OHCA with 12-lead electrocardiography, MIRACLE
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JACC: Cardiovascular Interventions
Volume
15
Issue
10