Evidence map›Paper›PMID 37183538›Full record

ArticleCardiology journal2023

Out-of-hospital cardiac arrest: Do we have to perform coronary angiography?

Wojciech Wańha, Michalina Kołodziejczak, Mariusz Kowalewski, Rafał Januszek, Łukasz Kuźma, Miłosz Jaguszewski, Mariusz Tomaniak, Szymon Darocha, Karolina Kupczyńska, Piotr Dobrowolski and 17 more

Open access · goldAbstract read
In one paragraph

Article in Cardiology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 13 institutions in 1 country.

Wojciech WańhaDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland. wojciech.wanha@gmail.com.ORCID 0000-0003-1220-9496
Michalina KołodziejczakDepartment of Anesthesiology and Intensive Care, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Antoni Jurasz University Hospital No. 1, Bydgoszcz, Poland.
Mariusz KowalewskiDepartment of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Center of Postgraduate Medical Education, Warsaw, Poland.
Rafał JanuszekSecond Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
Łukasz KuźmaDepartment of Invasive Cardiology, Medical University of Bialystok, Poland.
Miłosz JaguszewskiFirst Department of Cardiology, Medical University of Gdansk, Poland.
Mariusz TomaniakFirst Department of Cardiology, Medical University of Warsaw, Poland.
Szymon DarochaDepartment of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Center of Postgraduate Medical Education Fryderyk Chopin Hospital in European Health Center Otwock, Poland.
Karolina KupczyńskaChair and Department of Cardiology, Medical University of Lodz, Poland.
Piotr DobrowolskiDepartment of Hypertension, National Institute of Cardiology, Warsaw, Poland.
Agata TymińskaFirst Department of Cardiology, Medical University of Warsaw, Poland.
Aleksandra CiepłuchaFirst Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.
Justyna SokolskaDepartment of Cardiovascular Imaging, Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
Agnieszka Kapłon-CieślickaFirst Department of Cardiology, Medical University of Warsaw, Poland.
Andrzej KułachDepartment of Cardiology, Medical University of Silesia, Katowice, Poland.
Maciej WybraniecDepartment of Cardiology, Medical University of Silesia, Katowice, Poland.
Tomasz RolederDepartment of Cardiology, Regional Specialist Hospital in Wroclaw, Poland.
Mateusz TajstraThird Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
Klaudiusz NadolnyFaculty of Medicine, Katowice School of Technology, Katowice, Poland.
Tomasz DarochaDepartment of Anesthesiology and Intensive Therapy, Medical University of Silesia, Katowice, Poland.
Katarzyna SierakowskaDepartment of Anesthesiology and Intensive Care, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Antoni Jurasz University Hospital No. 1, Bydgoszcz, Poland.
Tomasz PawłowskiDepartment of Invasive Cardiology, Central Clinical Hospital of the Ministry of Interior and Administration, Center of Postgraduate Medical Education, Warsaw, Poland.
Marek GierlotkaDepartment of Cardiology, University Hospital, Institute of Medical Sciences, University of Opole, Poland.
Maciej LesiakFirst Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland.
Krystian WitaFirst Department of Cardiology, Medical University of Silesia, Katowice, Poland.
Robert GilDepartment of Invasive Cardiology, Central Clinical Hospital of the Ministry of Interior and Administration, Centre of Postgraduate Medical Education, Warsaw, Poland.
Przemysław TrzeciakThird Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
Medical University of Silesia · PLFoundation of Cardiac Surgery Development · PLMedical University of Warsaw · PLCentral Clinical Hospital · PLNicolaus Copernicus University · PLPoznan University of Medical Sciences · PLCollegium Medicum in Bydgoszcz · PLJagiellonian University · PLMedical University of Białystok · PLMedical University of Lodz · PLUniversity of Opole · PLWroclaw Medical University · PLWSB University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Out-of-hospital cardiac arrest (OHCA) remains a leading cause of global mortality, while survivors are burdened with long-term neurological and cardiovascular complications. OHCA management at the hospital level remains challenging, due to heterogeneity of OHCA presentation, the critical status of OHCA patients reaching the return of spontaneous circulation (ROSC), and the demands of post ROSC treatment. The validity and optimal timing for coronary angiography is one important, yet not fully defined, component of OHCA management. Guidelines state clear recommendations for coronary angiography in OHCA patients with shockable rhythms, cardiogenic shock, or in patients with ST-segment elevation observed in electrocardiography after ROSC. However, there is no established consensus on the angiographic management in other clinical settings. While coronary angiography may accelerate the diagnostic and therapeutic process (provided OHCA was a consequence of coronary artery disease), it might come at the cost of impaired post-resuscitation care quality due to postponing of intensive care management. The aim of the current statement paper is to discuss clinical strategies for the management of OHCA including the stratification to invasive procedures and the rationale behind the risk-benefit ratio of coronary angiography, especially with patients in critical condition.

Indexed as

coronary angiographyout-of-hospital cardiac arrest

Identifiers

PMID37183538
PMCPMC10713207
OpenAlexW4376631162

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.