ECG patterns in early pulseless electrical activity-Associations with aetiology and survival of in-hospital cardiac arrest Daniel Bergum, Gunnar Waage.

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Presentation transcript:

ECG patterns in early pulseless electrical activity-Associations with aetiology and survival of in-hospital cardiac arrest Daniel Bergum, Gunnar Waage Skjeflo, Trond Nordseth, Ole Christian Mjølstad, Bjørn Olav Haugen, Eirik Skogvoll, Jan Pål Loennechen Resuscitation Volume 104, Pages 34-39 (July 2016) DOI: 10.1016/j.resuscitation.2016.03.029 Copyright © 2016 The Author(s) Terms and Conditions

Fig. 1 Data generation flow chart. PEA, pulseless electrical activity; VF/VT, pulseless ventricular fibrillation/tachycardia. Resuscitation 2016 104, 34-39DOI: (10.1016/j.resuscitation.2016.03.029) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 2 Reliable causes of pulseless electrical activity (PEA) and patterns of early electrocardiogram (ECG) during resuscitation from in-hospital cardiac arrest. 4H4T, hypoxia, hypovolaemia, hypo-/hyperkalaemia, hypothermia, thromboembolism (pulmonary embolus), toxins, tension pneumothorax, tamponade (cardiac). Other, aortic rupture/-dissection, sepsis, exacerbation of cancer. Resuscitation 2016 104, 34-39DOI: (10.1016/j.resuscitation.2016.03.029) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 3 Mechanical and non-mechanical causes of pulseless electrical activity (PEA) and patterns of early electrocardiogram (ECG) during resuscitation from in-hospital cardiac arrest. Tamp., tamponade; emb., embolus; pn., pneumothorax. Hypovolaemia was considered to be a mechanical cause in cases of sudden loss of blood and a subsequent ‘empty heart’. Resuscitation 2016 104, 34-39DOI: (10.1016/j.resuscitation.2016.03.029) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 4 1-h survival from pulseless electrical activity (PEA) and patterns of early electrocardiogram (ECG), during resuscitation from in-hospital cardiac arrest. ROSC, return of spontaneous circulation. Resuscitation 2016 104, 34-39DOI: (10.1016/j.resuscitation.2016.03.029) Copyright © 2016 The Author(s) Terms and Conditions