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Iranian Heart Journal، جلد ۲۵، شماره ۲، صفحات ۲۶-۳۴
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عنوان انگلیسی Early vs Delayed Coronary Angiography in Out-of-Hospital Cardiac Arrest Patients Without ST-Segment Elevation: An Updated Meta-Analysis of Randomized Controlled Trials
چکیده انگلیسی مقاله Background: The routine practice of early coronary angiography in patients who have suffered an out-of-hospital cardiac arrest without ST-segment elevation remains a subject of controversy.
 
Methods: We searched electronic databases for randomized controlled trials that compared early or emergency coronary angiography with delayed or no coronary angiography in patients who had an out-of-hospital cardiac arrest without ST-segment elevation. A random-effects meta-analysis was performed to estimate the odds ratio (OR) with a 95% confidence interval (CI). The outcomes of interest were mortality and neurological prognosis, based on the cerebral performance categories (CPC 1–2) scale.
 
Results: Seven studies involving 1623 patients (the early group [n=816] and the delayed group [n=807]) were included in the final analysis. Compared to delayed coronary angiography, early coronary angiography was associated with similar odds of mortality (OR, 1.07; 95% CI, 0.87 to 1.31; P=0.52) and a favorable neurological prognosis (OR, 0.97; 95% CI, 0.78 to 1.19; P=0.74).
 
Conclusions: For patients with an out-of-hospital cardiac arrest without ST-segment elevation, there was no benefit concerning mortality and neurological prognosis with early coronary angiography compared with delayed coronary angiography. (Iranian Heart Journal 2024; 25(2): 26-34)
کلیدواژه‌های انگلیسی مقاله Early coronary angiography, Delayed coronary angiography, Out-of-hospital cardiac arrest, Non–ST-elevation myocardial infarction
نویسندگان مقاله Sahib Singh |
Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD, USA.

Sanchit Duhan |
Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD, USA.

Amit Rout |
Division of Cardiology, University of Louisville, Kentucky, USA.

Aakash Garg |
Division of Cardiology, Ellis Hospital, NY, USA.

Sohail Ikram |
Division of Cardiology, University of Louisville, Kentucky, USA.

نشانی اینترنتی http://journal.iha.org.ir/article_193306_e3f8ec497512647152c84f3fd5b3ae4c.pdf
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