Pulseless electrical activity echocardiography and ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

There are no echocardiography/ultrasound findings associated with [disease name].

OR

Echocardiography/ultrasound may be helpful in the diagnosis of [disease name]. Findings on an echocardiography/ultrasound suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

There are no echocardiography/ultrasound findings associated with [disease name]. However, an echocardiography/ultrasound may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].

Echocardiography/Ultrasound

Echocardiography may be helpful in the diagnosis of pulseless electrical activity. It is mainly helpful in identifying the reversible causes of PEA(Pulseless electrical activity). Findings on an echocardiography suggestive of/diagnostic of pulseless electrical activity include:[1][2][3][4][5][6]

  • Cardiac tamponade
  • Tension pneumothorax
  • Massive myocardial infarction

References

  1. Atkinson PR, Keyes AW, O'Donnell K, Beckett N, Banerjee A, Fraser J, Lewis D (November 2018). "Do Electrocardiogram Rhythm Findings Predict Cardiac Activity During a Cardiac Arrest? A Study from the Sonography in Cardiac Arrest and Hypotension in the Emergency Department (SHoC-ED) Investigators". Cureus. 10 (11): e3624. doi:10.7759/cureus.3624. PMC 6347444. PMID 30697500.
  2. Yu HH, Jeng JR (2017). "Pulseless electrical activity in acute massive pulmonary embolism during thrombolytic therapy". Ci Ji Yi Xue Za Zhi. 29 (1): 50–54. doi:10.4103/tcmj.tcmj_7_17. PMC 5509188. PMID 28757765.
  3. Steiger HV, Rimbach K, Müller E, Breitkreutz R (April 2009). "Focused emergency echocardiography: lifesaving tool for a 14-year-old girl suffering out-of-hospital pulseless electrical activity arrest because of cardiac tamponade". Eur J Emerg Med. 16 (2): 103–5. doi:10.1097/MEJ.0b013e32830a998c. PMID 19218856.
  4. Hernandez C, Shuler K, Hannan H, Sonyika C, Likourezos A, Marshall J (February 2008). "C.A.U.S.E.: Cardiac arrest ultra-sound exam--a better approach to managing patients in primary non-arrhythmogenic cardiac arrest". Resuscitation. 76 (2): 198–206. doi:10.1016/j.resuscitation.2007.06.033. PMID 17822831.
  5. Testa A, Cibinel GA, Portale G, Forte P, Giannuzzi R, Pignataro G, Silveri NG (February 2010). "The proposal of an integrated ultrasonographic approach into the ALS algorithm for cardiac arrest: the PEA protocol". Eur Rev Med Pharmacol Sci. 14 (2): 77–88. PMID 20329565.
  6. Gaspari R, Weekes A, Adhikari S, Noble V, Nomura JT, Theodoro D, Woo M, Atkinson P, Blehar D, Brown S, Caffery T, Douglass E, Fraser J, Haines C, Lam S, Lanspa M, Lewis M, Liebmann O, Limkakeng A, Lopez F, Platz E, Mendoza M, Minnigan H, Moore C, Novik J, Rang L, Scruggs W, Raio C (November 2017). "A retrospective study of pulseless electrical activity, bedside ultrasound identifies interventions during resuscitation associated with improved survival to hospital admission. A REASON Study". Resuscitation. 120: 103–107. doi:10.1016/j.resuscitation.2017.09.008. PMID 28916478.

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