Key clinical point: Early coronary angiography doesn’t improve 1-year outcomes, compared with delayed angiography following restoration of spontaneous circulation after out-of-hospital cardiac arrest without ST elevation.
Major finding: The 1-year survival after cardiac arrest without STEMI was 61.4% with immediate coronary angiography and not significantly different at 64% with delayed angiography.
Study details: The 19-center COACT trial randomized 552 Dutch patients to immediate or delayed coronary angiography following restoration of spontaneous circulation after out-of-hospital cardiac arrest without ST-elevation MI.
Disclosures: The presenter reported having no financial conflicts regarding the COACT trial, funded by the Netherlands Heart Institute and unrestricted research grants from Biotronik and AstraZeneca.
Lemkes J. AHA 2019, Late-breaking Science session 4.