{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:40:21Z","timestamp":1747147221855,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Out of hospital cardiac arrest (OHCA) is common and associated with low survival rates. Guidelines propose a fast work\u2010up after OHCA including coronary angiography (CA) but little is known about the actual outcome of those patients who undergo immediate CA after OHCA with suspected cardiac origin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this retrospective single\u2010center study was to evaluate the short\u2010term outcomes and predictors of in\u2010hospital mortality in patients who underwent immediate CA after OHCA with suspected cardiac origin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included all consecutive patients with OHCA who underwent immediate CA between January 2011 and December 2015. We defined immediate CA after OHCA as angiography within 2\u2009hr after admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and nineteen consecutive patients with OHCA were included. Fifty six patients (26%) underwent CA without previous return of spontaneous circulation (ROSC) and with ongoing CPR using the LUCAS\u2010device. One hundred and forty nine patients (67%) died in hospital. Of the 56 patients with CA with ongoing CPR, 55 died and only 1 patient survived to hospital discharge. In a multivariate analysis, older age (OR = 2.03, 95%CI 1.35\u20133.03; <jats:italic>p<\/jats:italic> = .001), initial shockable rhythm (OR = 0.28, 95%CI 0.07\u20131.13; <jats:italic>p<\/jats:italic> = .076), CA with ongoing CPR (OR = 11.63, 95%CI 1.20\u2013122.55; <jats:italic>p<\/jats:italic> = .035), and initial arterial pH (OR = 0.008, 95%CI 0.00\u20130.228; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.005) remained as independent predictors for in\u2010hospital mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this study older age, metabolic derangement on admission, initial nonshockable rhythm and failure to achieve ROSC before admission predicted in\u2010hospital mortality. While CA with ongoing CPR with the LUCAS\u2010device was feasible, mortality in patients without previous ROSC was extremely high, questioning whether this approach is medically useful.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28582","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T13:11:42Z","timestamp":1573564302000},"page":"509-516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outcome predictors of patients with out of hospital cardiac arrest and immediate coronary angiography"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4765-109X","authenticated-orcid":false,"given":"Mohammad","family":"Almalla","sequence":"first","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medical Faculty RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Kersten","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medical Faculty RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ertunc","family":"Altiok","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medical Faculty RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Burgmaier","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medical Faculty RWTH Aachen  Aachen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"Marx","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Intensive Care Medical Faculty RWTH Aachen  Aachen 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