TOMAHAWK: Difference between revisions

TOMAHAWK (view source)

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 ==Major Points==
-The role of angiography among those with out of hospital cardiac arrest (OHCA) was unclear. The TOMAHAWK trial randomized 554 adults with OHCA, regardless of shockable rhythm who didn't have primary indication for angiography (e.g., STEMI/LBBB) or clear non-cardiac reason for OHCA to immediate or delayed angiography. There was a higher rate of 30 day mortality among those brought for immediate angiography (54% vs. 46%; HR 1.28; 95% CI 1.00-1.63).
+The role of angiography among those with out of hospital cardiac arrest (OHCA) was unclear. The TOMAHAWK trial randomized 554 adults with OHCA, regardless of shockable rhythm who didn't have primary indication for angiography (e.g., STEMI/LBBB) or clear non-cardiac reason for OHCA to immediate or delayed angiography. There was a non-significant trend towards higher rate of 30 day mortality among those brought for immediate angiography (54% vs. 46%; HR 1.28; 95% CI 1.00-1.63).
-In general, TOMAHAWK supports a delayed angiography approach for OHCA with no clear ACS.
 ==Guidelines==