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Asystole (New Latin, from Greek privative a "not, without" + systolē "contraction" [1] [2]) is the absence of ventricular contractions in the context of a lethal heart arrhythmia (in contrast to an induced asystole on a cooled patient on a heart-lung machine and general anesthesia during surgery necessitating stopping the heart).
Treatment [14] for cardiac flatline or asystole can involve: CPR (cardiopulmonary resuscitation) Administering a vasopressin such as epinephrine; Trying to identify what could be causing the cardiac flatline in the first place. [15] Treatment decisions will depend on where an individual is when they go into asystole.
Injections of atropine are used in the treatment of symptomatic or unstable bradycardia. Atropine was previously included in international resuscitation guidelines for use in cardiac arrest associated with asystole and PEA but was removed from these guidelines in 2010 due to a lack of evidence for its effectiveness. [22]
Arrhythmias such as asystole or bradycardia are more likely in children, in contrast to ventricular fibrillation or tachycardia as seen in adults. [ 30 ] Additional causes of sudden unexplained cardiac arrest in children include hypertrophic cardiomyopathy and coronary artery abnormalities. [ 161 ]
In medicine, an agonal heart rhythm is a variant of asystole. Agonal heart rhythm is usually ventricular in origin. Agonal heart rhythm is usually ventricular in origin. Occasional P waves and QRS complexes can be seen on the electrocardiogram .
The approach in treatment of PEA is to treat the underlying cause, if known (e.g. relieving a tension pneumothorax). Where an underlying cause for PEA cannot be determined and/or reversed, the treatment of pulseless electrical activity is similar to that for asystole. [3]
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Initial symptoms may include heart asystole and respiratory arrest. [1] While the asystole may spontaneously resolve fairly rapidly, the respiratory arrest is typically more prolonged. [1] Other symptoms may include burns and blunt injuries. [1] Of those who survive, about 75% have ongoing health problems as a result, such as cataracts and ...