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May 2026 Br J Cardiol 2026;33(2) doi:10.5837/bjc.2026.026 Online First

What about guidelines for out-of-hospital cardiac arrest with unusual cardiac anatomy?

Oluwanifemi O Akintoye, Clive Lewis

Abstract

Introduction Out-of-hospital cardiac arrest (OOHCA) is associated with high morbidity and mortality rates worldwide.1 Although there have been advances in the management of cardiac conditions, because OOHCA occurs in the community with lack of access to immediate and effective cardiopulmonary resuscitation (CPR), OOHCA has continued to yield poor clinical outcomes globally.1,2 Several interventions have been developed to improve effective CPR for OOHCA patients,2,3 one of which is community training of CPR techniques. In patients with unusual cardiac anatomy, modified CPR techniques need to be adopted, and this has not been considered in the

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