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Coronary Angiography
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Coronary Angiography after Cardiac Arrest without ST-Segment Elevation
FELICIANO MERA
DEFINITION
Ischemic heart disease is a major cause of out-of-hospital cardiac arrest. The role of immediate coronary angiography and percutaneous coronary intervention (PCI) in the treatment of patients who have been successfully resuscitated after cardiac arrest in the absence of ST-segment elevation myocardial infarction (STEMI) remains uncertain.
TOPIC 1
APPLICATION IN NURSING
Coronary angiography is often performed in conjunction with cardiac catheterization. This is a procedure that measures the pressures in the heart chambers.
TOPIC 2
PRO AND CONS
PRO
Its main effectiveness is: it serves to measure a narrow or obstructed coronary artery, or also to know how the functioning of the heart chambers works.
TOPIC 3
CONS
Involves a slight increase in risk when compared to other heart exams and there is a risk of bleeding, infection, and pain at the intravenous or catheter insertion site.
There is always a small risk that flexible plastic catheters can damage blood vessels or surrounding structures.
ISSUES APPLIED RECORD IN ECUADOR
TOPIC 4
Coronary angiography was performed in 265 of the 273 patients (97.1%) tients in the immediate angiography group and in 24.2% in the delayed angiography group; coro- nary-artery bypass grafting was performed in 6.2% and 8.7%, respectively. Patients assigned to the strategy of immediate angiography were more often treated with a glycoprotein IIb/IIIa inhibi- tor, and patients assigned to the delayed strategy were more likely to be treated with salicylates, a P2Y12 inhibitor, or both.
CONCLUSION
Among patients who had been successfully resuscitated after out-of-hospital cardiac arrest and had no signs of STEMI, a strategy of immediate angiography was not found to be better than a strategy of delayed angiography with respect to overall survival at 90 days.