COACT
Coronary Angiography after Cardiac Arrest without ST-Segment Elevation
Patient / Population Intervention / Exposure Comparison Outcome
In 552 OHCA survivors with a shockable rhythm and no STEMI, immediate coronary angiography did not improve 90-day survival versus delayed angiography.
N
552
Design
Multicentre RCT, Netherlands
Endpoint
Survival at 90 days
Relevance
2
Result64.5% vs 67.2% (OR 0.89; 95% CI 0.62–1.27; p=0.51).
Lemkes JS, et al. N Engl J Med. 2019;380(15):1397-1407. 10.1056/NEJMoa1816897
Discussion & critique
No routine immediate cath without ST-elevation or instability.