12. Cardiogenic shock and cardiac arrest

Coronary angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation

TOMAHAWK 1 year
Objective
to compare 1-year clinical outcomes of early coronary angiography or delayed coronary angiography after out-of-hospital cardiac arrest (OHCA)
Study
investigator-initiated, multicentre, open-label randomised trial
Population
patients with successful resuscitation of OHCA without ST-segment elevation undergoing coronary angiography and revascularisation if indicated
Endpoints
all-cause mortality at 1-year
Conclusion
immediate angiography for patients with OHCA without ST-segment-elevation does not improve clinical outcomes at 1 year compared to delayed angiography
Desch et al. JAMA Cardiol. 2023: August online
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