Pulseless electrical activity in cardiac arrest: Electrocardiographic presentations and management considerations based on the electrocardiogram

American Journal of Emergency Medicine

Volumn 30, Issue 1, 2012, Pages 236-239

  Mehta, Chris ^a,b   Brady, William ^b,c  

^a VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Charlottesville Albemarle Rescue Squad   (United States)

^c UNIVERSITY OF VIRGINIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

VASOPRESSIN;

ADULT; AGED; APNEA; ARTICLE; CASE REPORT; DEFIBRILLATION; ELECTROCARDIOGRAPHY; ERYTHROCYTE CONCENTRATE; ERYTHROCYTE TRANSFUSION; FEMALE; FLUID THERAPY; GASTRIC ULCER BLEEDING; HEART ARREST; HEART ARRHYTHMIA; HEART VENTRICLE FIBRILLATION; HUMAN; MALE; MELENA; P WAVE; PRIORITY JOURNAL; PULSELESS HEART ELECTRICAL ACTIVITY; QRS COMPLEX; RESUSCITATION; TACHYCARDIA;

AGED; CARDIOPULMONARY RESUSCITATION; ELECTROCARDIOGRAPHY; FEMALE; HEART; HEART ARREST; HUMANS; MALE; MIDDLE AGED; PROGNOSIS; PULSE;

EID: 81755166531     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2010.08.017     Document Type: Article

References (24)

1. Ewy G.A. Defining electromechanical dissociation Ann Emerg Med 13 1984 830 832
2. Herlitz J., Andersson E., and Bang A. Experiences from treatment of out-of-hospital cardiac arrest during 17 years in Goteborg Eur Heart J 21 2000 1251 1258
3. Stiell I.G., Wells G.A., and Field B.J. Improved out-of-hospital cardiac arrest survival through the inexpensive optimization of an existing defibrillation program JAMA 281 1999 1175 1181
4. Polentini M.S., Pirrallo R.G., and McGill W. The changing incidence of ventricular fibrillation in Milwaukee, Wisconsin (1992-2002) Prehosp Emerg Care 10 2006 52 60
5. van Walraven C., Forster A.J., and Stiell I.G. Derivation of a clinical decision rule for the discontinuation of in-hospital cardiac arrest resuscitations Arch Intern Med 159 2 1999 Jan 25 129 134
6. Parish D.C., Dane D.C., and Montgomery M. Resuscitation in the hospital: relationship of year and rhythm to outcome Resuscitation 47 2000 219 229
7. Engdahl J., Bang A., Lindqvist J., and Herlitz J. Factors affecting short- and long-term prognosis among 1069 patients with out-of-hospital cardiac arrest and pulseless electrical activity Resuscitation 51 2001 17 25
8. Hallstrom A., Rea T.D., and Sayre M.R. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial JAMA 295 2006 2620 2628
9. Stueven H.A., Aufderheide T., Waite E.M., and Mateer J.R. Electromechanical dissociation: six years prehospital experience Resuscitation 17 1989 173 182
10. Cooper S., Janghorbani M., and Cooper G. A decade of in-hospital resuscitation: outcomes and prediction of survival Resuscitation 68 2006 231 237
11. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care Circulation 112 Suppl 24 2005 IV1 IV203
12. Virkkunen I., Paasio L., and Ryynanen S. Pulseless electrical activity and unsuccessful out-of-hospital resuscitation: what is the cause of death? Resuscitation 77 2008 207 210
13. Paradis N.A., Martin G.B., and Goetting M.G. Aortic pressure during human cardiac arrest. Identification of pseudo-electromechanical dissociation Chest 101 1992 123 128
14. Vayrynen T., Kuisma M., Maatta T., and Boyd J. Who survives from out-of-hospital pulseless electrical activity? Resuscitation 76 2008 207 213
15. Desbiens N.A. Simplifying the diagnosis and management of pulseless electrical activity in adults: a qualitative review Crit Care Med 36 2008 391 396
16. Salen P., O'Connor R., and Sierzenski P. Can cardiac sonography and capnography be used independently and in combination to predict resuscitation outcomes? Acad Emerg Med 8 2001 610 615
17. Blaivas M., and Fox J.C. Outcome in cardiac arrest patients found to have cardiac standstill on the bedside emergency department echocardiogram Acad Emerg Med 8 2001 610 615
18. Geddes L.A., Roeder R.A., and Rundell A.E. The natural biochemical changes during ventricular fibrillation with cardiopulmonary resuscitation and the onset of postdefibrillation pulseless electrical activity Am J Emerg Med 24 2006 577 581
19. Niemann J.T., Stratton S.J., Cruz B., and Lewis R.J. Outcome of out-of-hospital postcountershock asystole and pulseless electrical activity versus primary asystole and pulseless electrical activity Crit Care Med 29 2001 2366 2370
20. Matei V.A., Barth H.A., Elefteriades J.A., and Barash P.G. Hypothermia-related electrocardiographic abnormalities: Osborn waves Anesthesiology 2010 1518 112
21. Hoffman J.R., and Stevenson L.W. Postdefibrillation idioventricular rhythm-a salvageable condition West J Med 146 1987 188 191
22. Aufderheide T.P., Thakur R.K., and Steuven H.A. Electrocardiograph characteristics in EMD Resuscitation 17 1989 183 193
23. Geddes L.A., Roeder R.A., Kemeny A., and Otlewski M. The duration of ventricular fibrillation required to produce pulseless electrical activity Am J Emerg Med 23 2005 138 141
24. Larabee T.M., Paradis N.A., and Bartsch J. A swine model of pseudo-pulseless electrical activity induced by partial asphyxiation Resuscitation 78 2008 196 199