Penn Medicine’s TTM Academy Podcasts
Health & Fitness:Medicine
Electrocardiography (ECG) represents a central diagnostic tool in the post-arrest evaluation of patients resuscitated from out-of-hospital cardiac arrest (OHCA), and it should be acquired immediately after achievement of ROSC to identify the need for an urgent coronary angiography, which is indicated only in the case of ST-segment elevation myocardial infarction (STEMI). While resuscitation guidelines are clear in the recommendation and importance of obtaining an ECG during the post-ROSC phase, they don’t provide specific instructions about the best time for ECG acquisition after ROSC.
In this context some have proposed that the timing of ECG post-ROSC may have an impact in the early post-ROSC phase, and that the ECG could reflect ischemia secondary to cardiac arrest more than or in addition to ischemia due to coronary artery pathology, possibly leading to overdiagnosis of STEMI.
In episode 24 of the TTM Academy Podcast we review a recent study published in JAMA Network Open, by authors Enrico Baldi, Simone Savatano and colleagues, who performed a retrospective, multicenter cohort study evaluating whether the time from ROSC to ECG acquisition is associated with the percentage of false-positive ECG findings for STEMI in patients resuscitated from OHCA.
Citation of the study and accompanying Editorial commentary:
Episode 25 – Interpreting the TTM2 Trial – 33C versus Controlled Normothermia
Episode 23 - Cardiac arrest, up close and personal: A discussion with @Lglaucomflecken
Episode 22 - The Role of Oxygen in Critical Illness
Episode 21 - IHCA during the COVID-19 pandemic: Implications of COVID-19 for resuscitation care
Episode 20 - Resuscitation Guideline in the time of COVID-19
Episode 19 - OHCA during the COVID-19 pandemic: Implications of COVID-19 for resuscitation care
Episode 18 - Survivorship: The new frontier in post-arrest care
Episode 17 - New evidence: physician perspectives on post-arrest neuroprognostication
Episode 16 - Gender differences in cardiac arrest and post-arrest care
Episode 15 - ReSS Year in Review: Part 2 of 2
Episode 14 - ReSS Year in Review: Part 1 of 2
Episode 13 – Transesophageal echocardiography during cardiac arrest resuscitation
Episode 12 - HYPERION Results - TTM following non-shockable cardiac arrest
Episode 11 - ECMO Implementation for Refractory Cardiac Arrest in the ED
Episode 10 - TTM Following Opioid Overdose Cardiac Arrest
Episode 9 - MRI Imaging for Post-Arrest Neurological Prognostication
Episode 8 – Oxygen Delivery After Cardiac Arrest Resuscitation
Episode 7 - Cardiac Arrest Regionalized Care
Episode 6 - ECMO for Cardiac Arrest
Create your
podcast in
minutes
It is Free
The Relaxback UK Show
Good Nurse Bad Nurse
On Call With Dr. Anselm Anyoha
The Doctor’s Farmacy with Mark Hyman, M.D.
The Peter Attia Drive