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Minerva Anestesiologica 2019 May;85(5):554-8

DOI: 10.23736/S0375-9393.19.13425-6


lingua: Inglese

Coronary angiogram after cardiac arrest? Reasonably and sensibly

Wulfran BOUGOUIN 1, 2, 3, Ornella PIAZZA 4, Florence DUMAS 2, 3, 5, 6, Cesare BALDI 7, Alain CARIOU 2, 3, 5, 8 , Edoardo DE ROBERTIS 9

1 Intensive Care Unit, Ramsay Générale de Santé, Jacques Cartier Private Hospital, Massy, France; 2 INSERM U970, Paris Cardiovascular Research Center, Paris, France; 3 Paris Sudden Death Expertise Center, Paris, France; 4 Department of Medicine and Surgery, University of Salerno, Baronissi, Salerno, Italy; 5 Sorbonne-Paris-Cité University - Paris-Descartes, Paris, France; 6 Department of Emergency Medicine, Cochin Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France; 7 Department of Cardiac, Thoracic, and Vascular Surgery, San Giovanni di Dio e Ruggi d’Aragona University Hospital, Salerno, Italia; 8 Medical Intensive Care Unit, Cochin Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France; 9 Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy

The role of emergency coronary angiography after cardiac arrest and return of spontaneous circulation is not yet completely clear. While patients with a high risk of acute coronary lesion and with a presumed favorable neurological outcome should undergo a coronary angiography as soon as possible, the decision to perform it is questionable in patients who are less likely to have a coronary cause of arrest, and when clinical characteristics raise serious concerns regarding neurological outcome. In this paper, we analyze the main advantages and drawbacks of a coronary angiogram after a successfully resuscitated cardiac arrest.

KEY WORDS: Heart arrest; Percutaneous coronary intervention; Resuscitation

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