Background: Out of hospital cardiac arrest management of patients with non-ST myocardial
infarction per current American Heart Association and European Resuscitation Council
guidelines leave the decision in regard to early angiography up to the physician operators. Guidelines
are clear on the positive impact of early intervention on survival and improvement on left ventricular
function in patients presenting with cardiac arrest and ST elevation myocardial infarction
on electrocardiogram. This review aims to analyze the data that current guidelines are based upon
in regards to out of hospital cardiac arrest with electrocardiogram findings of non-ST elevation
myocardial infarction as well as review of other clinical trials that support early angiography and
Conclusion: Analysis of current literature shows that early coronary evaluation in patients with
no finding of ST elevation on ECG can help improve survival in patients suffering out of
hospital cardiac arrest.
Keywords: Cardiac arrest, non ST elevation myocardial infarction, cardiac catheterization, angiography, electrocardiogram.
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