Pulseless electrical activity echocardiography: Difference between revisions
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| [[File:Siren.gif|30px|link= Pulseless electrical activity resident survival guide]]|| <br> || <br> | |||
| [[Pulseless electrical activity resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
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{{Pulseless electrical activity}} | {{Pulseless electrical activity}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
A rapid beside [[echocardiogram]] can identify several rapidly reversible causes of PEA such as [[cardiac tamponade]], [[myocardial infarction]], [[cardiac rupture]] and underfilling of the [[ventricle]] due to [[hypovolemia]]. Elevated [[right heart]] filling pressures suggest [[pulmonary embolism]]. [[Tension pneumothorax]] can also be observed on a bedside [[echocardiogram]]<br /> | |||
A rapid beside echocardiogram can identify several rapidly reversible causes of PEA such as [[cardiac tamponade]], [[myocardial infarction]], [[cardiac rupture]] and underfilling of the ventricle due to [[hypovolemia]]. Elevated right heart filling pressures suggest [[pulmonary embolism]]. [[Tension pneumothorax]] can also be observed on a bedside echocardiogram. | |||
== Echocardiography == | |||
PEA underlying causes are separated into primary and secondary forms. The secondary form includes the causes that result from an abrupt cessation of [[cardiac]] [[venous return]]. A rapid beside [[echocardiogram]] can identify several rapidly reversible and secondary causes of PEA. [[Echocardiography]] during [[CPR]] is beneficial to detect secondary causes that include easily treatable, reversible [[Pathology|pathologies]] associated with PEA such as:<ref name="pmid20970912">{{cite journal| author=Robson R| title=Echocardiography during CPR: more studies needed. | journal=Resuscitation | year= 2010 | volume= 81 | issue= 11 | pages= 1453-4 | pmid=20970912 | doi=10.1016/j.resuscitation.2010.09.009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20970912 }}</ref><ref name="pmid20801576">{{cite journal| author=Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, Ackermann H | display-authors=etal| title=Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. | journal=Resuscitation | year= 2010 | volume= 81 | issue= 11 | pages= 1527-33 | pmid=20801576 | doi=10.1016/j.resuscitation.2010.07.013 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20801576 }}</ref> | |||
* [[Cardiac tamponade]] | |||
* [[Myocardial infarction]] | |||
* [[Cardiac rupture]] | |||
* Underfilling of the [[ventricle]] due to [[hypovolemia]] | |||
* Massive [[pulmonary embolism]] | |||
* Acute malfunction of [[prosthetic valves]] | |||
*[[Exsanguination|Exsanguinations]] | |||
*[[Tension pneumothorax]] | |||
<br /> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: | [[Category:Needs content]] | ||
[[Category:Electrophysiology]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | |||
Latest revision as of 21:19, 2 April 2020
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Resident Survival Guide |
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Pulseless electrical activity Microchapters |
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Differentiating Pulseless Electrical Activity from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Pulseless electrical activity echocardiography On the Web |
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American Roentgen Ray Society Images of Pulseless electrical activity echocardiography |
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Directions to Hospitals Treating Pulseless electrical activity |
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Risk calculators and risk factors for Pulseless electrical activity echocardiography |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A rapid beside echocardiogram can identify several rapidly reversible causes of PEA such as cardiac tamponade, myocardial infarction, cardiac rupture and underfilling of the ventricle due to hypovolemia. Elevated right heart filling pressures suggest pulmonary embolism. Tension pneumothorax can also be observed on a bedside echocardiogram
Echocardiography
PEA underlying causes are separated into primary and secondary forms. The secondary form includes the causes that result from an abrupt cessation of cardiac venous return. A rapid beside echocardiogram can identify several rapidly reversible and secondary causes of PEA. Echocardiography during CPR is beneficial to detect secondary causes that include easily treatable, reversible pathologies associated with PEA such as:[1][2]
- Cardiac tamponade
- Myocardial infarction
- Cardiac rupture
- Underfilling of the ventricle due to hypovolemia
- Massive pulmonary embolism
- Acute malfunction of prosthetic valves
- Exsanguinations
- Tension pneumothorax
References
- ↑ Robson R (2010). "Echocardiography during CPR: more studies needed". Resuscitation. 81 (11): 1453–4. doi:10.1016/j.resuscitation.2010.09.009. PMID 20970912.
- ↑ Breitkreutz R, Price S, Steiger HV, Seeger FH, Ilper H, Ackermann H; et al. (2010). "Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial". Resuscitation. 81 (11): 1527–33. doi:10.1016/j.resuscitation.2010.07.013. PMID 20801576.