Background: Cardiac arrest remains a common and lethal condition associated with
high morbidity and mortality. Even with improving survival rates, the successfully resuscitated post
cardiac arrest patient is also at risk for poor neurological outcomes, functional status and long- term
survival if not managed appropriately. Given that acute coronary occlusion has been found to be the
leading cause of cardiac arrest, long-term prognosis is good in selected patients after successful outof-
hospital resuscitation and ST elevation myocardial infarction who are taken for immediate coronary
angiography, treated with primary percutaneous coronary intervention and hypothermia when
Conclusion: A priority should therefore be placed in diagnosing as quickly as possible patients
who have an acute coronary occlusion (i.e. ST elevation myocardial infarction) and implementing
the appropriate and timely therapeutic strategy, which will require close chain of survival co- ordination
and the services of the cardiac catheterization lab. Here we review previous and current
guidelines as well as associated evidence.
Keywords: Cardiac arrest, ST elevation myocardial infarction, cardiac catheterization lab, morbidity, mortality, hypothermia.
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