Pulseless electrical activity echocardiography: Difference between revisions
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== Echocardiography == | == Echocardiography == | ||
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<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>. 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, such as massive pulmonary embolism, acute malfunction of prosthetic valves, exsanguinations, and cardiac tamponade. Echocardiography during CPR is beneficial to detect secondary causes that include easily treatable, reversible pathologies associated with PEA<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> | 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<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>. 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, such as massive pulmonary embolism, acute malfunction of prosthetic valves, exsanguinations, and cardiac tamponade. Echocardiography during CPR is beneficial to detect secondary causes that include easily treatable, reversible 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> | ||
* [[cardiac tamponade]] | |||
* [[myocardial infarction]] | |||
* [[cardiac rupture]] | |||
* underfilling of the ventricle due to [[hypovolemia]] | |||
* massive pulmonary embolism | |||
* acute malfunction of prosthetic valves | |||
* exsanguinations | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 20:42, 1 April 2020
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Differentiating Pulseless Electrical Activity from other Diseases |
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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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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
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[1]. 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, such as massive pulmonary embolism, acute malfunction of prosthetic valves, exsanguinations, and cardiac tamponade. Echocardiography during CPR is beneficial to detect secondary causes that include easily treatable, reversible pathologies associated with PEA such as:[2]
- cardiac tamponade
- myocardial infarction
- cardiac rupture
- underfilling of the ventricle due to hypovolemia
- massive pulmonary embolism
- acute malfunction of prosthetic valves
- exsanguinations
References
- ↑ 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.
- ↑ Robson R (2010). "Echocardiography during CPR: more studies needed". Resuscitation. 81 (11): 1453–4. doi:10.1016/j.resuscitation.2010.09.009. PMID 20970912.