![]() ![]() Underlying and treatable causes for pulseless electrical activity include: It’s always important to treat the patient’s symptoms, rather than rely on the ECG readout alone. ![]() Causes of Pulseless Electrical Activity (PEA) PEA can be caused by reversible conditions easily remembered as the H’s and T’s, which you’ll see below. When a patient is in PEA, the ECG monitor can display normal or wide QRS complexes, as well as other abnormalities, which include:ĪCLS providers must remember to assess the patient’s monitored rhythm and note the rate and width of the QRS complexes. ![]() Very slow pulseless electrical activity can also be referred to as agonal. The rate of electrical activity may be slow (which is most common), normal, or fast. Pulsations can be detected by an arterial waveform or Doppler study. ![]() Instead, it’s a term used to describe any organized electrical activity – but excluding VFib or asystole - on an ECG or cardiac monitor that is associated with no palpable pulses. Pulseless electrical activity is not a specific rhythm. Healthcare providers need to find the potential cause and correct it, which will hopefully restore the patient’s pulse. Pulseless electrical activity, also commonly referred to as PEA, is a condition where the electrical activity of the heart isn’t accompanied by a palpable or effective pulse. 1 of 1 Next What is Pulseless Electrical Activity (PEA)? Pseudo-pulseless electrical activity in the emergency department, an evidence based approach. elsevier.es/en-revista-spanish-journal-legal-medicine-446-articulo-the-role-toxic-substances-in-S2445424918300037 The role of toxic substances in sudden cardiac death. en/resuscitation-science/cpr-and-ecc-guidelines/algorithms
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