Cardiac arrest remains a major public health issue. Emergency coronary angiography and percutaneous coronary intervention might improve survival, especially when cardiac arrest is caused by acute myocardial infraction. However, identifying patients with AMI after cardiac arrest remains challenging. The aim of this study was to assessment the degree of coronary artery disease using coronary angiography after cardiac arrest.

This cross-sectional study involved patients were diagnosed with cardiac arrest according to the 2006 American heart association/ American college of cardiology. The patient underwent systematic emergency coronary angiography. Patients with critical stenosis or occlusion underwent ad hoc PCI.

Between 2016 and 2019, 60 survivors from cardiac arrest presumed of cardiac origin were included immediate coronary angiography showed significant coronary artery lesions in 70% of patients, but only a minority had angiography evidence of an acute syndrome due to either an acute occlusion (22% ) or an irregular lesion suggestive of ruptured plaque or thrombus (45%). ST segment elevation predicted acute coronary occlusion in 66.7%.