Investigating immediate versus delayed coronary angiography for cardiac arrest patients
Official title: Direct or Subacute Coronary Angiography in Out-of-hospital Cardiac Arrest - a Prospective, Randomized Study
Run by Uppsala University · NCT02309151 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing if doing heart imaging right after a cardiac arrest can help people survive longer compared to waiting a few days to do the imaging.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1006 (estimated) |
| Sponsor | Uppsala University Academic / other |
| Locations | 21 sites (Aalborg and 20 other locations) |
| Trial ID | NCT02309151 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults who have experienced a witnessed out-of-hospital cardiac arrest with restoration of spontaneous circulation lasting more than 20 minutes and no ST-elevation on their ECG.
✕Probably not a fit
Patients under 18 years old, those with ST-elevation on ECG, or those with obvious extracardiac causes of cardiac arrest will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, randomized study aims to determine if performing acute coronary angiography within 120 minutes improves 30-day survival rates in patients who experience out-of-hospital cardiac arrest without ST-elevation on their ECG after restoration of spontaneous circulation. Participants will be randomly assigned to receive either immediate coronary angiography or delayed angiography, which may occur three days post-arrest. The study will include 1006 patients and will assess quality of life and health economics at six months, alongside extensive neurocognitive testing.
Why it matters
Potential benefit: If successful, this study could significantly improve survival rates for patients experiencing out-of-hospital cardiac arrest.
How similar studies have gone: Previous studies have explored similar approaches, but this specific strategy of immediate versus delayed angiography in this patient population is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Witnessed out of hospital cardiac arrest * Restoration of Spontaneous Circulation (ROSC) \>20 minutes * Coronary angiography is expected to be performed within 120 minutes from inclusion and randomization at hospital Exclusion Criteria: * Patient age \<18 years * Obvious extracardiac genesis of cardiac arrest such as trauma, hemorrhagic shock, and / or asphyxia (eg drowning, suffocation, hanging, exposure to fire smoke) * Terminally ill patients with a life expectancy of less than 1 year * Patients with ST-elevation * Known pregnancy * Patient awake GCS \>8 (Glasgow Coma Scale)
Where it's running
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Aarhus University Hospital
Aarhus, Denmark Recruiting -
Odense University hospital
Odense, Denmark Recruiting -
Amsterdam UMC
Amsterdam, Netherlands Recruiting -
Albert Schweitzer Hospital
Dordrecht, Netherlands Recruiting -
Catharina Ziekenhuis
Eindhoven, Netherlands Recruiting -
Treant Hospital
Emmen, Netherlands Recruiting
Show 15 more locations
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Zuyderland Hospital
Heerlen, Netherlands Recruiting -
Antonius Hospital
Nieuwegein, Netherlands Recruiting -
Radboud University Medical Center
Nijmegen, Netherlands Recruiting -
Haaglanden Medisch Centrum
The Hague, Netherlands Recruiting -
Sahlgrenska Universitetssjukhuset
Göteborg, Sweden Recruiting -
Karolinska Universitetssjukhuset
Solna, Sweden Recruiting -
Södersjukhuset AB
Stockholm, Sweden Recruiting -
Umeå Universitetssjukhus
Umeå, Sweden Recruiting -
Uppsala University hospital
Uppsala, Sweden Recruiting -
Aalborg University hospital
Aalborg, Denmark Terminated -
Karolinska Universitetssjukhuset
Huddinge, Sweden Terminated -
Skånes Universitetssjukhus
Lund, Sweden Terminated -
Skåne Universitetssjukhus
Malmö, Sweden Terminated -
Danderyd Sjukhus
Stockholm, Sweden Terminated -
Örebro Universitetssjukhus
Örebro, Sweden Terminated
Study contacts
- Principal investigator: Sten Rubertsson, Md,PhD — Uppsala Universtiy hospital
- Study coordinator: Sten Rubertsson Rubertsson, Md,PhD
- Email: sten.rubertsson@akademiska.se
- Phone: +46708693996
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Minimal Sedation After Out-of-Hospital Cardiac Arrest
This study tests whether stopping continuous sedation right after return of circulation is as safe as keeping patients sedated in the early hours after OHCA.
-
Drone delivery of AEDs to bystanders for out-of-hospital cardiac arrest
This project will test whether drones can deliver AEDs quickly to bystanders helping someone who has a cardiac arrest outside a hospital.
-
Pre-hospital wearable cooling after out-of-hospital cardiac arrest
This pilot test tries a battery-free CarbonCool® cooling vest applied by paramedics to adults who regain a pulse after out-of-hospital cardiac arrest but remain unconscious to see if early cooling is feasible and safe.
-
Early double sequential defibrillation for cardiac arrest outside the hospital
We test whether using two defibrillators in quick succession after the first failed shock helps adults with out‑of‑hospital cardiac arrest and a shockable rhythm survive more often than continuing standard single shocks.
-
Prehospital access to extracorporeal cardiopulmonary resuscitation in Prague
This study is testing if a special emergency treatment called prehospital extracorporeal cardiopulmonary resuscitation (ECPR) can help people who have a cardiac arrest outside of the hospital survive better and have better brain function compared to those who only get treatment in the hospital.
-
Initial double sequential defibrillation for out-of-hospital ventricular fibrillation
This trial will test whether using two defibrillators to give double sequential shocks first improves survival for adults with out-of-hospital cardiac arrest and a shockable rhythm.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.