Home > Cardiology > ESC 2021 > Immediate angiogram after cardiac arrest does not reduce mortality

Immediate angiogram after cardiac arrest does not reduce mortality

Presented By
Prof. Steffen Desch, University Heart Center Lübeck, Germany
Conference
ESC 2021
Trial
TOMAHAWK
Assigning all survivors of an out-of-hospital cardiac arrest (OHCA) to an early coronary angiogram turned out to have no positive influence on the 30-day all-cause mortality. The TOMAHAWK study was not able to establish an advantage over the selective angiogram at a later point of hospitalisation [1,2]. Currently, the pros and cons of an instant coronary angiogram in patients with resuscitated OHCA are still under debate. The TOMAHAWK study (NCT02750462) hypothesised that the unselected immediate angiogram would be advantageous for OHCA patients compared with a delayed/selective angiogram. The trial randomised 554 patients over 30 years of age from various sites in Germany and Denmark who met the inclusion criteria of documented OHCA, with return of spontaneous circulation (ROSC). ST-elevation in the ECG was among the reasons for exclusion. The primary endpoint was...


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