Immediate unselected coronary angiography versus delayed triage in survivors of out-of-hospital cardiac arrest without ST-segment elevation (TOMAHAWK-DZHK4)
Contacts- Stefan Desch
- Holger Thiele
Inclusion criteria- Documented resuscitated OHCA of possible cardiac origin and return of spontaneous circulation
Age ≥30 years
Informed consent
Exclusion criteria- ST-segment elevation or new left bundle branch block
No return of spontaneous circulation upon hospital admission
Severe hemodynamic or electrical instability requiring immediate coronary angiography/intervention (delay clinically not acceptable)
Obvious extra-cardiac etiology such as traumatic brain injury
- primary metabolic or electrolyte disorders
- intoxication
- overt hemorrhage
- respiratory failure due to known lung disease
- suffocation
- drowning
In-hospital cardiac arrest
Known or likely pregnancy
Participation in another intervention study