Out of Hospital Cardiac Arrest Clinical Trial
Official title:
Role of Early Cardiac Catheterization in Cardiac Arrest
This is a pilot study that will lead to a large randomized control trial (RCT), to assess whether early versus late or no cardiac catheterization is associated with improved outcomes in out-of-hospital cardiac arrest (OHCA) patients.
A pilot multicenter RCT.
The objectives of the study are:
To assess whether early (within 12 hours) cardiac catheterization is associated with improved
survival, neurologic and cardiovascular outcomes in OHCA patients.
Patients will be randomized 1:1 to early cardiac catheterization, performed as early as
possible, within 12h post return of spontaneous circulation (ROSC) following OHCA, or to
standard practice, which may include medical management without cardiac catheterization or
late cardiac catheterization after completion of therapeutic hypothermia. Percutaneous
coronary intervention (PCI) is recommended for culprit lesions found on diagnostic
angiography. All patients will undergo therapeutic hypothermia started as soon as possible
with target temperature below 36°C according to local practice. Other medical management will
be according to standard of care
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