Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity. Her EKG showed wide complex bradydysrhythmia which progressed to pulseless electrical activity cardiac arrest.
Asystole is the absence of any electrical activity in the heart. It produces no cardiac output, so appears on an ECG as a nearly flat line. Asystole is a cardiac arrest rhythm in which there is no discernible electrical activity on the ECG monitor. It should not be confused, however, with specific pulseless scenarios listed previously. In PEA, there is electrical activity on EKG. Pulseless Electrical Activity Practice Test Your task for this case is to assess and manage a patient in cardiac arrest who has pulseless electrical activity (PEA). torsade de pointes) or pulseless ventricular tachycardia. Asystole is sometimes referred to as a “flat line.” Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and no palpable pulse but with some organized cardiac electrical activity. And then there's pulseless electrical activity. Pulseless Electrical Activity. This page includes the following topics and synonyms: Pulseless Electrical Activity, PEA Rhythm, Electromechanical Dissociation, Idioventricular Rhythm, Bradyasystolic Rhythm, Pseudo-EMD. The patient may exhibit electrical activity without any palpable pulse, or pulseless electrical activity (PEA), in which case compressions should be resumed. Upon arrival to the ED, the patient was found to be pulseless with electrical activity and required an additional seven minutes of CPR and multiple doses of epinephrine before ROSC was achieved. Pulseless electrical activity leads to a loss of cardiac output, and the blood supply to the brain is interrupted. Thus, one cannot learn a PEA rhythm. Pulseless electrical activity (PEA) is defined as organized ECG activity, excluding ventricular tachycardia and fibrillation, without clinical evidence of a palpable pulse or myocardial contractions. As a result, PEA is usually noticed when a person loses consciousness and stops breathing spontaneously. And this is the flat line that you hear about on movies and TV shoes, and they say, "The patient's flatlining!" In addition to the ventricular arrhythmias we’ve discussed, other lethal arrhythmias include asystole, and pulseless electrical activity (PEA), also known as Electromechanical Dissociation (EMD).
It's asystole. Pulseless electrical activity has previously been referred to as electromechanical dissociation (EMD). Venoarterial extracorporeal membrane oxygenation was initiated as a form of treatment, and the patient survived to hospital discharge on day 19 [42 A]. Asystole is the “flatline” on the ECG monitor.