Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes (1). The benefit of emergency coronary angiography after resuscitation from out-of-hospital cardiac arrest(OHCA) is uncertain for patients without ST-segment elevation. Where Return of SpontaneousCirculation (ROSC) has been achieved and ST elevation persists, clinical research has shown that emergency coronary angiography guided therapy, which may include PPCI, improves prognosis (2-3). However, it is also recognised that for some patients with ROSC and without ST elevation, emergency coronary angiography may not be of benefit and is therefore not always indicated (4-5). Careful and considered assessment of these patients is essential before deciding on an appropriate management plan.
Author Heartbeat Sub-Editor: Dr Khin Kay Kay Kyaw I am currently working as cardiology specialist registrar ST6 at southwest peninsula region while also working as
Author Sub-editor: Dr Pok-Tin Tang Dr Pok-Tin Tang is an ST5 cardiology registrar in the Thames Valley deanery, currently undertaking a period of out of
Author Sub-editor: Dr May Hu Dr May Hu is a cardiology trainee in the North West deanery. She graduated with First Class Honours from the University
Author Sub-editor: Dr Jhiamluka Solano Dr Jhiamluka Solano is a cardiology resident doctor (ST6) in the Yorkshire and Humber Deanery, currently undertaking a DPhil (PhD)