
Understanding Painful Left Bundle Branch Block Syndrome: Where Does the Evidence Lead Us?
Author Sub-editor: Dr Hnin Zaw Dr Hnin Zaw is a cardiology registrar from the East of England Deanery with a specialist interest in electrophysiology and
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 Sub-editor: Dr Hnin Zaw Dr Hnin Zaw is a cardiology registrar from the East of England Deanery with a specialist interest in electrophysiology and

Author Sub-editor: Dr Tha Htet Nyi Dr Tha Htet Nyi is a cardiology registrar in South London Deanery with subspecialty interests in multimodal cardiac imaging and

Author Sub-editor: Dr Chi Ho Fung Dr Chi Ho Fung graduated with Distinction from Imperial College School of Medicine in 2019 with an Intercalated Bachelor

Authors Heartbeat Sub-Editor: Alexandar Drampalou I am Dr.Alexandar Drampalou ,a cardiologist currently specializing in cardiac magnetic resonance (CMR) at Guy’s and St Thomas’ Hospital and

Authors Heartbeat Sub-Editor: Marina Zafeiri Dr Marina Zafeiri is an IMT3 in the Wessex deanery, with a strong interest in Cardiology. She graduated from Athens

Author Sub-editor: Dr Joshua Rowland Dr Joshua Rowland is a cardiology registrar working in the North West Deanery. He graduated from the University of Manchester