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Pulseless electrical activity (PEA) is a form of cardiac arrest in which the electrocardiogram shows a heart rhythm that should produce a pulse, but does not. Pulseless electrical activity is found initially in about 20% of out-of-hospital cardiac arrests [ 1 ] and about 50% of in-hospital cardiac arrests.
The two "shockable" rhythms are ventricular fibrillation and pulseless ventricular tachycardia, while the two "non-shockable" rhythms are asystole and pulseless electrical activity. [65] Moreover, in the post-resuscitation patient, a 12-lead EKG can help identify some causes of cardiac arrest, such as STEMI which may require specific treatments.
Ventricular fibrillation (V-fib or VF) is an abnormal heart rhythm in which the ventricles of the heart quiver. [2] It is due to disorganized electrical activity. [2] Ventricular fibrillation results in cardiac arrest with loss of consciousness and no pulse. [1]
An ECG does not equate with mechanical pumping activity of the heart; for example, pulseless electrical activity produces an ECG that should pump blood but no pulses are felt (and constitutes a medical emergency and CPR should be performed). Ventricular fibrillation produces an ECG but is too dysfunctional to produce a life-sustaining cardiac ...
An example EKG for pulseless electrical activity. In this rhythm, cardiac activity will be seen on electrocardiogram, but a pulse will not be felt on provider's exam. An EKG showing asystole, or "flat-lining." Patients will present following a traumatic event most often with pulseless electrical activity (PEA). Patients will exhibit low blood ...
One additional example is the use of high potassium in lethal injection that results in asystole, cardiac arrest, and then death. Pulseless electrical activity (PEA) – Pulseless electrical activity is when the electrocardiogram shows a rhythm that should produce a pulse but it does not. PEA is commonly caused by the 6 H's and 6 T's (see PEA ...