A 65-year-old man has ROSC after a witnessed VF cardiac arrest in the coronary care unit. He remains comatose. ECG post-ROSC shows ST elevation in lea...

Question

A 65-year-old man has ROSC after a witnessed VF cardiac arrest in the coronary care unit. He remains comatose. ECG post-ROSC shows ST elevation in leads V1-V4. Echocardiography shows anterior wall akinesis with EF 30%. He is haemodynamically stable on noradrenaline 0.05 mcg/kg/min. According to current guidelines, what is the recommended approach to coronary angiography?

Accepted Answer

Emergency coronary angiography given the ST elevation, as this suggests an acute coronary occlusion

Answer

Coronary angiography only if the patient regains consciousness

Answer

Immediate coronary angiography regardless of ECG findings

Answer

Defer coronary angiography for 72 hours to allow neurological assessment first

Answer

CT coronary angiography as a non-invasive alternative

uk-fficm MCQ (SBA): Post-Cardiac Arrest Care