Does the presence of chronic total occlusion independently predict outcomes in patients resuscitated from out-of-hospital cardiac arrest with ST-segment elevation myocardial infarction?
Patients resuscitated from out-of-hospital cardiac arrest with ST-segment elevation myocardial infarction
Presence of chronic total occlusion (CTO)
Absence of chronic total occlusion
Death rates / outcomeshard clinical
In OHCA patients with STEMI, chronic total occlusion is a marker of higher atherosclerotic burden rather than an independent driver of early death.
In patients resuscitated from out-of-hospital cardiac arrest with ST-segment elevation myocardial infarction, chronic total occlusion is associated with increased crude death rates, but does not independently predict outcomes after adjustment. Chronic total occlusion probably reflects a higher atherosclerotic burden rather than being a direct driver of early death. The detection of chronic total occlusion remains clinically relevant for long-term management.
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Vincent Pham
Andrea Cupiraggi
Thibaud Gasparato
Archives of cardiovascular diseases
Inserm
Université Paris Cité
Assistance Publique – Hôpitaux de Paris
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Pham et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69a75de3c6e9836116a282ef — DOI: https://doi.org/10.1016/j.acvd.2025.12.011