메뉴 건너뛰기




Volumn 36, Issue 2, 2008, Pages 391-396

Simplifying the diagnosis and management of pulseless electrical activity in adults: A qualitative review

Author keywords

Advanced cardiac life support; Cardiac arrest; Diagnosis; Electromechanical dissociation; Pulseless electrical activity; Therapy

Indexed keywords

ALGORITHM; BLEEDING; CARDIOVASCULAR DISEASE; DIFFERENTIAL DIAGNOSIS; DOCUMENTATION; HEART ARREST; HEART INFARCTION; HUMAN; HYPERKALEMIA; NONHUMAN; PERICARDIAL EFFUSION; PNEUMOTHORAX; PRIORITY JOURNAL; PULSELESS ELECTRICAL ACTIVITY; QUALITATIVE ANALYSIS; REVIEW; THORACOTOMY;

EID: 38549162064     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/CCM.0b013e318161f504     Document Type: Article
Times cited : (36)

References (47)
  • 1
    • 44449120722 scopus 로고    scopus 로고
    • American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Available at:, Accessed August 31, 2006
    • American Heart Association: Part 7.2: Management of cardiac arrest. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Available at: http://circ.ahajournals.org/cgi/ content/full/112/24_suppl/IV-58. Accessed August 31, 2006
    • (2005) Part 7.2: Management of cardiac arrest
  • 2
    • 28444490018 scopus 로고    scopus 로고
    • Section 4. Adult advanced life support. European Resuscitation Council Guidelines for Resuscitation 2005
    • Nolan JP, Deakin CD, Soar J, et al: Section 4. Adult advanced life support. European Resuscitation Council Guidelines for Resuscitation 2005. Resuscitation 2005; 67(Suppl 1):S39-S86
    • (2005) Resuscitation , vol.67 , Issue.SUPPL. 1
    • Nolan, J.P.1    Deakin, C.D.2    Soar, J.3
  • 3
    • 0026559796 scopus 로고
    • Aortic pressure during human cardiac arrest. Identification of pseudo-electromechanical dissociation
    • Paradis NA, Martin GB, Goetting MG, et al: Aortic pressure during human cardiac arrest. Identification of pseudo-electromechanical dissociation. Chest 1992; 101:123-128
    • (1992) Chest , vol.101 , pp. 123-128
    • Paradis, N.A.1    Martin, G.B.2    Goetting, M.G.3
  • 4
    • 29944442726 scopus 로고    scopus 로고
    • First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults
    • for the National Registry of Cardiopulmonary Resuscitation Investigators
    • Nadkarni VM, Larkin GL, Peberdy MA, et al: for the National Registry of Cardiopulmonary Resuscitation Investigators: First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA 2006; 295:50-57
    • (2006) JAMA , vol.295 , pp. 50-57
    • Nadkarni, V.M.1    Larkin, G.L.2    Peberdy, M.A.3
  • 5
    • 0036027492 scopus 로고    scopus 로고
    • Factors affecting short- and long-term prognosis among 1069 patients with out-of-hospital cardiac arrest and pulseless electrical activity
    • Engdahl J, Bang A, Lindqvist J, et al: Factors affecting short- and long-term prognosis among 1069 patients with out-of-hospital cardiac arrest and pulseless electrical activity. Resuscitation 2001; 51:17-25
    • (2001) Resuscitation , vol.51 , pp. 17-25
    • Engdahl, J.1    Bang, A.2    Lindqvist, J.3
  • 6
    • 0034631980 scopus 로고    scopus 로고
    • Short- and long-term survival after cardiopulmonary resuscitation
    • Zoch TW, Desbiens NA, DeStefano F, et al: Short- and long-term survival after cardiopulmonary resuscitation. Arch Intern Med 2000; 160:1969-1973
    • (2000) Arch Intern Med , vol.160 , pp. 1969-1973
    • Zoch, T.W.1    Desbiens, N.A.2    DeStefano, F.3
  • 7
    • 0035432351 scopus 로고    scopus 로고
    • Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital
    • Timerman A, Sauaia N, Piegas LS, et al: Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital. Arq Bras Cardiol 2001; 77:142-160
    • (2001) Arq Bras Cardiol , vol.77 , pp. 142-160
    • Timerman, A.1    Sauaia, N.2    Piegas, L.S.3
  • 8
    • 0028884865 scopus 로고
    • A practical approach to the aetiology of pulseless electrical activity. A simple 10-step training mnemonic
    • Kloeck WG: A practical approach to the aetiology of pulseless electrical activity. A simple 10-step training mnemonic. Resuscitation 1995; 30:157-159
    • (1995) Resuscitation , vol.30 , pp. 157-159
    • Kloeck, W.G.1
  • 9
    • 0027451791 scopus 로고
    • Predicting survival from out-of-hospital cardiac arrest: A graphic model
    • Larsen MP, Eisenberg MS, Cummins RO, et al: Predicting survival from out-of-hospital cardiac arrest: A graphic model. Ann Emerg Med 1993; 22:1652-1658
    • (1993) Ann Emerg Med , vol.22 , pp. 1652-1658
    • Larsen, M.P.1    Eisenberg, M.S.2    Cummins, R.O.3
  • 10
    • 39749093168 scopus 로고
    • The magical number seven, plus or minus two: Some limits on our capacity for processing information
    • Miller GA: The magical number seven, plus or minus two: Some limits on our capacity for processing information. Psych Rev 1956; 563:81-97
    • (1956) Psych Rev , vol.563 , pp. 81-97
    • Miller, G.A.1
  • 11
    • 0036323380 scopus 로고    scopus 로고
    • Survey of junior hospital doctors' attitudes to cardiopulmonary resuscitation
    • Morgan R, Westmoreland C: Survey of junior hospital doctors' attitudes to cardiopulmonary resuscitation. Postgrad Med J 2002; 78:413-415
    • (2002) Postgrad Med J , vol.78 , pp. 413-415
    • Morgan, R.1    Westmoreland, C.2
  • 12
    • 33748885612 scopus 로고    scopus 로고
    • Stress-induced deficits in working memory and visuo-constructive abilities in special operations soldiers
    • Morgan CA III, Doran A, Steffian G, et al: Stress-induced deficits in working memory and visuo-constructive abilities in special operations soldiers. Biol Psychiatry 2006; 60:722-729
    • (2006) Biol Psychiatry , vol.60 , pp. 722-729
    • Morgan III, C.A.1    Doran, A.2    Steffian, G.3
  • 13
    • 0034904271 scopus 로고    scopus 로고
    • A novel use of ultrasound in pulseless electrical activity: The diagnosis of an acute abdominal aortic aneurysm rupture
    • Hendrickson RG, Dean AJ, Costantino TG: A novel use of ultrasound in pulseless electrical activity: The diagnosis of an acute abdominal aortic aneurysm rupture. J Emerg Med 2001; 21:141-144
    • (2001) J Emerg Med , vol.21 , pp. 141-144
    • Hendrickson, R.G.1    Dean, A.J.2    Costantino, T.G.3
  • 14
    • 0033799874 scopus 로고    scopus 로고
    • The incidence of pulmonary embolism in unexplained sudden cardiac arrest with pulseless electrical activity
    • Comess KA, DeRook FA, Russell ML, et al: The incidence of pulmonary embolism in unexplained sudden cardiac arrest with pulseless electrical activity. Am J Med 2000; 109:351-356
    • (2000) Am J Med , vol.109 , pp. 351-356
    • Comess, K.A.1    DeRook, F.A.2    Russell, M.L.3
  • 15
    • 0042123901 scopus 로고    scopus 로고
    • Acute cardiac tamponade
    • Spodick DH: Acute cardiac tamponade. N Engl J Med 2003; 349:684-690
    • (2003) N Engl J Med , vol.349 , pp. 684-690
    • Spodick, D.H.1
  • 16
    • 0026586229 scopus 로고
    • Lung hyperinflation caused by inappropriate ventilation resulting in electromechanical dissociation: A case report
    • Kollef MH: Lung hyperinflation caused by inappropriate ventilation resulting in electromechanical dissociation: A case report. Heart Lung 1992; 21:74
    • (1992) Heart Lung , vol.21 , pp. 74
    • Kollef, M.H.1
  • 17
    • 38549097462 scopus 로고    scopus 로고
    • Cardiopulmonary resuscitation and the subsequent management of the patient
    • Tenth Edition. Fuster V, Alexander RE, O'Rourke RA Eds, New York, McGraw-Hill
    • Chandra-Strobos N, Weisfeldt M: Cardiopulmonary resuscitation and the subsequent management of the patient. In: Hurst's The Heart. Tenth Edition. Fuster V, Alexander RE, O'Rourke RA (Eds). New York, McGraw-Hill, 2001, p 1049-1069
    • (2001) Hurst's The Heart , pp. 1049-1069
    • Chandra-Strobos, N.1    Weisfeldt, M.2
  • 18
    • 0000787114 scopus 로고    scopus 로고
    • Cardiovascular collapse
    • 16th Edition. Kasper DL, Braunwald E, Fauci AS, et al Eds, New York, McGraw-Hill
    • Myerburg RJ, Castellanos A: Cardiovascular collapse. In: Harrison's Principles of Internal Medicine. 16th Edition. Kasper DL, Braunwald E, Fauci AS, et al (Eds). New York, McGraw-Hill, 2005, p 1618-1624
    • (2005) Harrison's Principles of Internal Medicine , pp. 1618-1624
    • Myerburg, R.J.1    Castellanos, A.2
  • 19
    • 38549182220 scopus 로고    scopus 로고
    • Fundamentals of cardiopulmonary resuscitation
    • Third Edition. Civetta JM, Taylor RW, Kirby RR Eds, New York, Lippincott-Raven
    • Kirby RS, Melker RS: Fundamentals of cardiopulmonary resuscitation. In: Critical Care. Third Edition. Civetta JM, Taylor RW, Kirby RR (Eds). New York, Lippincott-Raven, 1997, p 491-509
    • (1997) Critical Care , pp. 491-509
    • Kirby, R.S.1    Melker, R.S.2
  • 20
    • 0024594711 scopus 로고
    • Hyperkalemia during human cardiopulmonary resuscitation: Incidence and ramifications
    • Martin GB, Nowak RM, Cisek JE, et al: Hyperkalemia during human cardiopulmonary resuscitation: Incidence and ramifications. J Emerg Med 1989; 7:109-113
    • (1989) J Emerg Med , vol.7 , pp. 109-113
    • Martin, G.B.1    Nowak, R.M.2    Cisek, J.E.3
  • 21
    • 0025469944 scopus 로고
    • Hyperkalemic electromechanical dissociation
    • Lawton JM: Hyperkalemic electromechanical dissociation. Wis Med J 1990; 89:459-461
    • (1990) Wis Med J , vol.89 , pp. 459-461
    • Lawton, J.M.1
  • 22
    • 0344800218 scopus 로고
    • The cardiorespiratory and biochemical events during rapid anoxic death. II. Acute anoxia
    • Swann HG, Brucer M: The cardiorespiratory and biochemical events during rapid anoxic death. II. Acute anoxia. Tex Rep Biol Med 1949; 7:539-552
    • (1949) Tex Rep Biol Med , vol.7 , pp. 539-552
    • Swann, H.G.1    Brucer, M.2
  • 23
    • 0024333957 scopus 로고
    • Defining electromechanical dissociation: Morphologic presentation
    • Stueven HA, Aufderheide T, Thakur RK, et al: Defining electromechanical dissociation: Morphologic presentation. Resuscitation 1989; 17:195-203
    • (1989) Resuscitation , vol.17 , pp. 195-203
    • Stueven, H.A.1    Aufderheide, T.2    Thakur, R.K.3
  • 24
    • 0024850519 scopus 로고
    • Diverse mechanisms of unexpected cardiac arrest in advanced heart failure
    • Luu M, Stevenson WG, Stevenson LW, et al: Diverse mechanisms of unexpected cardiac arrest in advanced heart failure. Circulation 1989; 80:1675-1680
    • (1989) Circulation , vol.80 , pp. 1675-1680
    • Luu, M.1    Stevenson, W.G.2    Stevenson, L.W.3
  • 25
    • 33745610728 scopus 로고    scopus 로고
    • From evidence to clinical practice: Effective implementation of therapeutic hypothermia to improve patient outcome after cardiac arrest
    • Oddo M, Schaller MD, Feihl F, et al: From evidence to clinical practice: Effective implementation of therapeutic hypothermia to improve patient outcome after cardiac arrest. Crit Care Med 2006; 34:1865-1873
    • (2006) Crit Care Med , vol.34 , pp. 1865-1873
    • Oddo, M.1    Schaller, M.D.2    Feihl, F.3
  • 26
    • 1542598001 scopus 로고    scopus 로고
    • Suicidal poisoning with antihypertensive drugs
    • Chodorowski Z, Anand JS, Waldman W: Suicidal poisoning with antihypertensive drugs. Przegl Lek 2003; 60:233-235
    • (2003) Przegl Lek , vol.60 , pp. 233-235
    • Chodorowski, Z.1    Anand, J.S.2    Waldman, W.3
  • 27
    • 0032052797 scopus 로고    scopus 로고
    • Percutaneous cardiopulmonary bypass for therapy resistant cardiac arrest from digoxin overdose
    • Behringer W, Sterz F, Domanovits H, et al: Percutaneous cardiopulmonary bypass for therapy resistant cardiac arrest from digoxin overdose. Resuscitation 1998; 37:47-50
    • (1998) Resuscitation , vol.37 , pp. 47-50
    • Behringer, W.1    Sterz, F.2    Domanovits, H.3
  • 28
    • 0031746641 scopus 로고    scopus 로고
    • Electromechanical dissociation 48 hours after atenolol overdose: Usefulness of calcium chloride
    • Pertoldi F, D'Orlando L, Mercante WP: Electromechanical dissociation 48 hours after atenolol overdose: Usefulness of calcium chloride. Ann Emerg Med 1998; 31:777-781
    • (1998) Ann Emerg Med , vol.31 , pp. 777-781
    • Pertoldi, F.1    D'Orlando, L.2    Mercante, W.P.3
  • 29
    • 0027302516 scopus 로고
    • Prolonged cardiopulmonary resuscitation during acute disopyramide poisoning
    • Accornero F, Pellanda A, Ruffini C, et al: Prolonged cardiopulmonary resuscitation during acute disopyramide poisoning. Vet Hum Toxicol 1993; 35:231-232
    • (1993) Vet Hum Toxicol , vol.35 , pp. 231-232
    • Accornero, F.1    Pellanda, A.2    Ruffini, C.3
  • 30
    • 0025772207 scopus 로고
    • Propranolol overdose - a dramatic response to calcium chloride
    • Brimacombe JR, Scully M, Swainston R: Propranolol overdose - a dramatic response to calcium chloride. Med J Aust 1991; 155:267-268
    • (1991) Med J Aust , vol.155 , pp. 267-268
    • Brimacombe, J.R.1    Scully, M.2    Swainston, R.3
  • 32
    • 0024457487 scopus 로고
    • Extracorporeal bypass for the treatment of verapamil poisoning
    • Hendren WG, Schieber RS, Garrettson LK: Extracorporeal bypass for the treatment of verapamil poisoning. Ann Emerg Med 1989; 18:984-987
    • (1989) Ann Emerg Med , vol.18 , pp. 984-987
    • Hendren, W.G.1    Schieber, R.S.2    Garrettson, L.K.3
  • 33
    • 0036847806 scopus 로고    scopus 로고
    • Blunt trauma patients with prehospital pulseless electrical activity (PEA): Poor ending assured
    • Martin SK, Shatney CH, Sherck JP, et al: Blunt trauma patients with prehospital pulseless electrical activity (PEA): Poor ending assured. J Trauma 2002; 53:876-880
    • (2002) J Trauma , vol.53 , pp. 876-880
    • Martin, S.K.1    Shatney, C.H.2    Sherck, J.P.3
  • 34
    • 15744365011 scopus 로고    scopus 로고
    • Bilateral tension pneumothorax
    • Castle N, Tagg A, Owen R: Bilateral tension pneumothorax. Resuscitation 2005; 65:103-105
    • (2005) Resuscitation , vol.65 , pp. 103-105
    • Castle, N.1    Tagg, A.2    Owen, R.3
  • 35
    • 0034303503 scopus 로고    scopus 로고
    • Surgical repair of acute left ventricular free wall rupture: Report of a case
    • Ito M, Murayama H, Sudo Y, et al: Surgical repair of acute left ventricular free wall rupture: Report of a case. Ann Thorac Cardiovasc Surg 2000; 6:332-335
    • (2000) Ann Thorac Cardiovasc Surg , vol.6 , pp. 332-335
    • Ito, M.1    Murayama, H.2    Sudo, Y.3
  • 36
    • 0031059159 scopus 로고    scopus 로고
    • Medical management of selected patients with left ventricular free wall rupture during acute myocardial infarction
    • Figueras J, Cortadellas J, Evangelista A, et al: Medical management of selected patients with left ventricular free wall rupture during acute myocardial infarction. J Am Coll Cardiol 1997; 29:512-518
    • (1997) J Am Coll Cardiol , vol.29 , pp. 512-518
    • Figueras, J.1    Cortadellas, J.2    Evangelista, A.3
  • 37
    • 0342313469 scopus 로고    scopus 로고
    • Pulmonary embolism as cause of cardiac arrest
    • Kürkciyan I, Meron G, Sterz F, et al: Pulmonary embolism as cause of cardiac arrest. Arch Intern Med 2000; 160:1529-1535
    • (2000) Arch Intern Med , vol.160 , pp. 1529-1535
    • Kürkciyan, I.1    Meron, G.2    Sterz, F.3
  • 38
    • 0037118292 scopus 로고    scopus 로고
    • Tissue plasminogen activator in cardiac arrest with pulseless electrical activity
    • Abu-Laban RB, Christenson JM, Innes GD, et al: Tissue plasminogen activator in cardiac arrest with pulseless electrical activity. N Engl J Med 2002; 346:1522-1528
    • (2002) N Engl J Med , vol.346 , pp. 1522-1528
    • Abu-Laban, R.B.1    Christenson, J.M.2    Innes, G.D.3
  • 39
    • 0034954067 scopus 로고    scopus 로고
    • Pulseless electrical activity with witnessed arrest as a predictor of sudden death from massive pulmonary embolism in outpatients
    • Courtney DM, Sasser HC, Pincus CL, et al: Pulseless electrical activity with witnessed arrest as a predictor of sudden death from massive pulmonary embolism in outpatients. Resuscitation 2001; 49:265-272
    • (2001) Resuscitation , vol.49 , pp. 265-272
    • Courtney, D.M.1    Sasser, H.C.2    Pincus, C.L.3
  • 40
    • 0001801135 scopus 로고    scopus 로고
    • Acute renal failure
    • Sixth Edition. Brenner BM, Rector FC Eds, Philadelphia, WB Saunders
    • Brady HR, Brenner BM, Clarkson MR, et al: Acute renal failure. In: Brenner and Rector's The Kidney. Sixth Edition. Brenner BM, Rector FC (Eds). Philadelphia, WB Saunders, 2000, p 1201-1262
    • (2000) Brenner and Rector's The Kidney , pp. 1201-1262
    • Brady, H.R.1    Brenner, B.M.2    Clarkson, M.R.3
  • 41
    • 30544455264 scopus 로고    scopus 로고
    • Chunk limits and length limits in immediate recall: A reconciliation
    • Chen Z, Cowan N: Chunk limits and length limits in immediate recall: A reconciliation. J Exp Psychol Learn Mem Cogn 2005; 31:1235-1249
    • (2005) J Exp Psychol Learn Mem Cogn , vol.31 , pp. 1235-1249
    • Chen, Z.1    Cowan, N.2
  • 42
    • 3242808997 scopus 로고    scopus 로고
    • Educational psychology in medical learning: A randomised controlled trial of two aide memoires for the recall of causes of electromechanical dissociation
    • Dyson E, Voisey S, Hughes S, et al: Educational psychology in medical learning: A randomised controlled trial of two aide memoires for the recall of causes of electromechanical dissociation. Emerg Med J 2004; 21:457-460
    • (2004) Emerg Med J , vol.21 , pp. 457-460
    • Dyson, E.1    Voisey, S.2    Hughes, S.3
  • 43
    • 25844507373 scopus 로고    scopus 로고
    • Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers
    • Niendorff DF, Rassias AJ, Palac R, et al: Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation 2005; 67:81-87
    • (2005) Resuscitation , vol.67 , pp. 81-87
    • Niendorff, D.F.1    Rassias, A.J.2    Palac, R.3
  • 44
    • 0026499489 scopus 로고
    • Interposed abdominal compression-cardiopulmonary resuscitation and resuscitation outcome during asystole and electromechanical dissociation
    • Sack JB, Kesselbrenner MB, Jarrad A: Interposed abdominal compression-cardiopulmonary resuscitation and resuscitation outcome during asystole and electromechanical dissociation. Circulation 1992; 86:1692-1700
    • (1992) Circulation , vol.86 , pp. 1692-1700
    • Sack, J.B.1    Kesselbrenner, M.B.2    Jarrad, A.3
  • 45
    • 0025976850 scopus 로고
    • Comparison of standard and high-dose adrenaline in the resuscitation of asystole and electromechanical dissociation
    • Lindner KH, Ahnefeld FW, Prengel AW: Comparison of standard and high-dose adrenaline in the resuscitation of asystole and electromechanical dissociation. Acta Anaesthesiol Scand 1991; 35:253-256
    • (1991) Acta Anaesthesiol Scand , vol.35 , pp. 253-256
    • Lindner, K.H.1    Ahnefeld, F.W.2    Prengel, A.W.3
  • 46
    • 0023910459 scopus 로고
    • A comparison of epinephrine and methoxamine for resuscitation from electromechanical dissociation in human beings
    • Turner LM, Parsons M, Luetkemeyer RC, et al: A comparison of epinephrine and methoxamine for resuscitation from electromechanical dissociation in human beings. Ann Emerg Med 1988; 17:443-449
    • (1988) Ann Emerg Med , vol.17 , pp. 443-449
    • Turner, L.M.1    Parsons, M.2    Luetkemeyer, R.C.3
  • 47
    • 0021854376 scopus 로고
    • The effectiveness of calcium chloride in refractory electromechanical dissociation
    • Stueven HA, Thompson B, Aprahamian C, et al: The effectiveness of calcium chloride in refractory electromechanical dissociation. Ann Emerg Med 1985; 14:626-629
    • (1985) Ann Emerg Med , vol.14 , pp. 626-629
    • Stueven, H.A.1    Thompson, B.2    Aprahamian, C.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.