Coronary angiography after resuscitation without ST‐Elevation: Indication remains elusive

Survivors of out‐of‐hospital cardiac arrest (OHCA) represent a heterogenous group that present in a common need for cardiac resuscitation. Coronary artery disease is associated with OHCA particularly in those with shockable rhythms. Interventional cardiologists are familiar with the concept of rapid catheterization that improves outcomes in acute coronary occlusion, but whether the same should extend to the OHCA patient is less clear. Coronary angiography is indicated after return of spontaneous circulation (ROSC) after resuscitation when ST‐segment elevation (STE) is present. Likewise, patients with resistant OHCA with nonshockable rhythms are not considered for angiography, although there is interest in the role of mechanical support. Between these extremes are patients who after OHCA resuscitation do not have STE. Many of these will have coexisting coronary disease, but whether this