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.
