Open AccessInvasive strategy in patients with resuscitated cardiac arrest and ST elevation myocardial infarction
Author(s) -
Vojka Gorjup,
Marko Noč,
Peter Radšel
Publication year - 2014
Publication title -
world journal of cardiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8462
DOI - 10.4330/wjc.v6.i6.444
Subject(s) - medicine , conventional pci , cardiology , cardiogenic shock , percutaneous coronary intervention , myocardial infarction , culprit , coronary artery disease , st elevation , lesion , surgery
Coronary artery disease is the most frequent cause of sudden cardiac death. There is general consensus that immediate coronary angiography with percutaneous coronary intervention (PCI) should be performed in all conscious and unconscious patients with ST-elevation myocardial infarction in post-resuscitation electrocardiogram. In these patients acute coronary thrombotic lesion ("ACS" lesion) suitable for PCI is typically present in more than 90%. PCI in these patients is not only feasible and safe but highly effective and there is evidence of improved survival with good neurological outcome. PCI of the culprit lesion is the primary goal while PCI of stable obstructive lesions may be postponed unless post-resuscitation cardiogenic shock is present.