Pulseless electrical activity classification: Difference between revisions
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==Overview== | ==Overview== | ||
PEA can be classified as cardiac and non cardiac depending on the initial underlying etiology. Cardiac PEA can be further classified as primary and secondary to a preceding ventricular tachycardia or ventricular fibrillation.<ref name="pmid24297818">{{cite journal| author=Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM et al.| title=Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop. | journal=Circulation | year= 2013 | volume= 128 | issue= 23 | pages= 2532-41 | pmid=24297818 | doi=10.1161/CIRCULATIONAHA.113.004490 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24297818 }} </ref> Pulseless electrical activity can be classified either by the intensity of cardiac contractions or their electrical manifestations (true or psuedo PEA), and by electrocardiographic features. These three can overlap and ultimately be classified by the electrical manifestations, and having different electrocrdiographic patterns in each of them. There is also one type of pulseless electrical activity seen in a post- shock EKG, which should not be classified, and therefore approached as a true PEA. | PEA can be classified as cardiac and non cardiac depending on the initial underlying etiology. Cardiac PEA can be further classified as primary and secondary to a preceding ventricular tachycardia or ventricular fibrillation.<ref name="pmid24297818">{{cite journal| author=Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM et al.| title=Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop. | journal=Circulation | year= 2013 | volume= 128 | issue= 23 | pages= 2532-41 | pmid=24297818 | doi=10.1161/CIRCULATIONAHA.113.004490 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24297818 }} </ref> Pulseless electrical activity can be classified either by the intensity of cardiac contractions or their electrical manifestations (true or psuedo PEA), and by electrocardiographic features. These three can overlap and ultimately be classified by the electrical manifestations, and having different electrocrdiographic patterns in each of them. </ref> Dragsund, I, K Gundersen, M Risdal, J Kramer-Johansen, D Edelson, F Sterz, and T Eftestøl. "Analysing the dynamics of pulseless electrical activity during cardiopulmonary resuscitation." Computers in cardiology, 2006 17-20 Sept. 2006, [Valencia, Spain. Piscataway, N.J.: IEEE Xplore, 2008. 749 - 752. Print. <ref> There is also one type of pulseless electrical activity seen in a post- shock EKG, which should not be classified, and therefore approached as a true PEA. | ||
==Classification== | ==Classification== | ||
Revision as of 19:50, 18 December 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karol Gema Hernandez, M.D. [2]
Overview
PEA can be classified as cardiac and non cardiac depending on the initial underlying etiology. Cardiac PEA can be further classified as primary and secondary to a preceding ventricular tachycardia or ventricular fibrillation.[1] Pulseless electrical activity can be classified either by the intensity of cardiac contractions or their electrical manifestations (true or psuedo PEA), and by electrocardiographic features. These three can overlap and ultimately be classified by the electrical manifestations, and having different electrocrdiographic patterns in each of them. </ref> Dragsund, I, K Gundersen, M Risdal, J Kramer-Johansen, D Edelson, F Sterz, and T Eftestøl. "Analysing the dynamics of pulseless electrical activity during cardiopulmonary resuscitation." Computers in cardiology, 2006 17-20 Sept. 2006, [Valencia, Spain. Piscataway, N.J.: IEEE Xplore, 2008. 749 - 752. Print. As a result of post defibrillation PEA, it is often useful to continue CPR for up to one minute following restoration of a perfusing rhythm.
References
- ↑ Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM; et al. (2013). "Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a national heart, lung, and blood institute workshop". Circulation. 128 (23): 2532–41. doi:10.1161/CIRCULATIONAHA.113.004490. PMID 24297818.