JACC Cardiovasc Interv October 2020 PMID 33032706

Coronary Angiography in Patients With Out-of-Hospital Cardiac Arrest Without ST-Segment Elevation: A Systematic Review and Meta-Analysis.

Beni R Verma, Vikram Sharma, Shashank Shekhar, Manpreet Kaur, Shameer Khubber, Agam Bansal, Jarmanjeet Singh, Keerat Rai Ahuja, Salik Nazir, Michael Chetrit, Venu Menon, Grant Reed, Samir Kapadia

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Mentions

Peak: 18 in Oct 2020

across 2 sources since Aug 2020

Extended reach

272,580

potential audience

Total likes

163

Video views

8,108

Mentions per month

Aug 2020 – Mar 2023

Where it's discussed

X / Twitter34 posts
YouTube2 videos

AI synopsis

What people are saying

Several posts discuss the implications of the systematic review, with some emphasizing that 'timing may not matter as much as previously thought,' indicating a shift in clinical perspective. The tone varies from cautious agreement to neutral analysis, highlighting the importance of predictors like comorbidities over procedural timing. Such language suggests that the publication is influencing ongoing debates but is not yet regarded as a definitive change in practice.

AgreementModerate agreement

Most discussions recognize that the findings indicate no clear advantage of early coronary angiography for this patient group, as evidenced by comments like 'no benefit' and 'consistent findings' which support the publication's conclusions.

InterestHigh interest

The posts demonstrate high relevance, with many participants referencing trials, clinical implications, and guideline considerations, indicating active engagement with the topic.

EngagementModerate engagement

While some posts delve into the details of clinical trials such as COACT, most discussions remain at a summary or interpretive level, signaling moderate depth.

ImpactModerate impact

The discussions imply a moderate perceived impact, especially among clinicians who may reconsider protocols based on the study, but there is no widespread call for immediate change.

Abstract in brief

The meta-analysis evaluated whether early coronary angiography improves outcomes in out-of-hospital cardiac arrest patients without ST-segment elevation and found no significant difference in 30-day mortality, neurological status, or PCI rates between early and nonearly procedures.
Key predictors of 30-day mortality included comorbidities such as diabetes, chronic renal failure, previous PCI, and lactate levels, rather than the timing of coronary angiography.
Overall, the study suggests that the timing of coronary angiography (early vs. nonearly) may not be crucial for survival or neurological recovery in these patients without ST-segment elevation.]

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All mentions

Managing Ventricular Arrhythmias and Out-of-Hospital Cardiac Arrest

This video reviews ESC guidelines for managing ventricular arrhythmias, including five clinical scenarios, and discusses the role of coronary angiography in out-of-hospital cardiac arrest patients without ST-segment…

CardioMinds, Dr. Sherif Altoukhy · Nov 6, 2022 6,407 views

Management of Ventricular Arrhythmias and Sudden Cardiac Death Prevention

This video discusses the 2022 ESC guidelines for managing ventricular arrhythmias and preventing sudden cardiac death, covering five clinical scenarios, and reviews the role of coronary angiography in out-of-hospital…

CardioMinds, Dr. Sherif Altoukhy · Nov 5, 2022 1,701 views

Yusuf EP

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