![]() ![]() In contrast, paediatric cardiac arrest is usually of respiratory aetiology, and the initial rhythm is often non-shockable including asystole and pulseless electrical activity (PEA). Thus, rhythm diagnosis and defibrillation are important features of adult cardiopulmonary resuscitation (CPR). Pulseless ventricular tachycardia (pVT) ECG,Īdult out-of-hospital cardiac arrests (OHCA) are commonly of primary cardiac origin with ventricular fibrillation (VF) as the cause of arrest. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist. This research has also been facilitated by the Women and Children’s Health Research Institute through the generous support of the Stollery Children's Hospital Foundation. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: All relevant data are within the manuscript and its Supporting Information files.įunding: GMS is a recipient of the Heart and Stroke Foundation/University of Alberta Professorship of Neonatal Resuscitation, a National New Investigator of the Heart and Stroke Foundation Canada and an Alberta New Investigator of the Heart and Stroke Foundation Alberta. Received: AugAccepted: MaPublished: April 4, 2019Ĭopyright: © 2019 Solevåg et al. Al-Dissi, Western College of Veterinary Medicine, University of Saskatchewan, CANADA All rights reserved.Citation: Solevåg AL, Luong D, Lee T-F, O’Reilly M, Cheung P-Y, Schmölzer GM (2019) Non-perfusing cardiac rhythms in asphyxiated newborn piglets. No unique patterns were associated with the underlying causes or survival.Īetiology Cardiac arrest Causes Defibrillator Pulseless electrical activity Resuscitation.Ĭopyright © 2016 The Author(s). None of the patients with 'normal' PEA survived.Ībnormal ECG patterns were frequent at the early stage of in-hospital PEA. ![]() ![]() Abnormal ECG patterns were seen in all survivors. Further 7 episodes with a corresponding defibrillator file, but without a reliable cause, were included in analysis of survival. No unique cause-specific ECG pattern could be identified. Ninety percent (46/51) had widened QRS complexes, 63% (32/51) were defined as 'wide-slow' due to QRS-widened bradycardia, and only 6% (3/51) episodes were categorized as normal. The defibrillator was attached after a median of one minute (75th percentile 3min) after the onset of arrest. QRS width and HR were considered to be normal below 120ms and within 60-100 cardiac cycles per minute, respectively.įifty-one episodes fulfilled the inclusion criteria. QRS width, QT interval, Bazett's corrected QT interval, presence of P waves and heart rate (HR) was determined. Prospectively observed episodes of IHCA presenting as PEA between January 2009 and august 2013, with a reliable cause of arrest and corresponding defibrillator ECG recordings, were analysed. The aim of this study was to investigate possible associations between early ECG patterns in PEA and the underlying causes and survival of in-hospital cardiac arrest (IHCA). Pulseless electrical activity (PEA) is an increasingly common presentation in cardiac arrest. Olav University Hospital, Trondheim, Norway.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |