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Asystole by ECG Finding

MedGen UID:
855686
•Concept ID:
C3890580
•
Finding

Definition

An electrocardiographic finding showing no cardiac electrical activity on the monitor or printed strip for the entire duration of the recording. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAsystole by ECG Finding

Professional guidelines

PubMed

2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD
Circulation 2019 Aug 20;140(8):e382-e482. Epub 2018 Nov 6 doi: 10.1161/CIR.0000000000000628. PMID: 30586772
2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB, Deal BJ, Dickfeld T, Field ME, Fonarow GC, Gillis AM, Granger CB, Hammill SC, Hlatky MA, Joglar JA, Kay GN, Matlock DD, Myerburg RJ, Page RL
J Am Coll Cardiol 2018 Oct 2;72(14):e91-e220. Epub 2018 Aug 16 doi: 10.1016/j.jacc.2017.10.054. PMID: 29097296
Brugada syndrome: Diagnosis, risk stratification and management.
Gourraud JB, Barc J, Thollet A, Le Marec H, Probst V
Arch Cardiovasc Dis 2017 Mar;110(3):188-195. Epub 2017 Jan 27 doi: 10.1016/j.acvd.2016.09.009. PMID: 28139454

Recent clinical studies

Etiology

Value of screening for the risk of sudden cardiac death in young competitive athletes.
Sarto P, Zorzi A, Merlo L, Vessella T, Pegoraro C, Giorgiano F, Graziano F, Basso C, Drezner JA, Corrado D
Eur Heart J 2023 Mar 21;44(12):1084-1092. doi: 10.1093/eurheartj/ehad017. PMID: 36760222Free PMC Article
Brugada Syndrome.
Krahn AD, Behr ER, Hamilton R, Probst V, Laksman Z, Han HC
JACC Clin Electrophysiol 2022 Mar;8(3):386-405. doi: 10.1016/j.jacep.2021.12.001. PMID: 35331438
Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
International criteria for electrocardiographic interpretation in athletes: Consensus statement.
Drezner JA, Sharma S, Baggish A, Papadakis M, Wilson MG, Prutkin JM, Gerche A, Ackerman MJ, Borjesson M, Salerno JC, Asif IM, Owens DS, Chung EH, Emery MS, Froelicher VF, Heidbuchel H, Adamuz C, Asplund CA, Cohen G, Harmon KG, Marek JC, Molossi S, Niebauer J, Pelto HF, Perez MV, Riding NR, Saarel T, Schmied CM, Shipon DM, Stein R, Vetter VL, Pelliccia A, Corrado D
Br J Sports Med 2017 May;51(9):704-731. Epub 2017 Mar 3 doi: 10.1136/bjsports-2016-097331. PMID: 28258178
Derangements of potassium.
Medford-Davis L, Rafique Z
Emerg Med Clin North Am 2014 May;32(2):329-47. Epub 2014 Feb 28 doi: 10.1016/j.emc.2013.12.005. PMID: 24766936

Diagnosis

Value of screening for the risk of sudden cardiac death in young competitive athletes.
Sarto P, Zorzi A, Merlo L, Vessella T, Pegoraro C, Giorgiano F, Graziano F, Basso C, Drezner JA, Corrado D
Eur Heart J 2023 Mar 21;44(12):1084-1092. doi: 10.1093/eurheartj/ehad017. PMID: 36760222Free PMC Article
Brugada Syndrome.
Krahn AD, Behr ER, Hamilton R, Probst V, Laksman Z, Han HC
JACC Clin Electrophysiol 2022 Mar;8(3):386-405. doi: 10.1016/j.jacep.2021.12.001. PMID: 35331438
Syncope, Epilepsy and Ictal Asystole: A Case Series and Narrative Review.
Sowden N, Booth C, Kaye G
Heart Lung Circ 2022 Jan;31(1):25-31. Epub 2021 Aug 6 doi: 10.1016/j.hlc.2021.07.003. PMID: 34366218
Electrocardiogram-based pulse prediction during cardiopulmonary resuscitation.
Kwok H, Coult J, Blackwood J, Bhandari S, Kudenchuk P, Rea T
Resuscitation 2020 Feb 1;147:104-111. Epub 2019 Nov 29 doi: 10.1016/j.resuscitation.2019.11.021. PMID: 31790755
Recurrence risk of ictal asystole in epilepsy.
Hampel KG, Thijs RD, Elger CE, Surges R
Neurology 2017 Aug 22;89(8):785-791. Epub 2017 Jul 26 doi: 10.1212/WNL.0000000000004266. PMID: 28747444Free PMC Article

Therapy

Brugada Syndrome.
Krahn AD, Behr ER, Hamilton R, Probst V, Laksman Z, Han HC
JACC Clin Electrophysiol 2022 Mar;8(3):386-405. doi: 10.1016/j.jacep.2021.12.001. PMID: 35331438
Asystole episodes and bradycardia in patients with end-stage renal disease.
Rautavaara J, Kerola T, Kaartinen K, Vilpakka M, Aitkoski A, Anttonen O, Ahvonen J, Koistinen J, Vääräniemi K, Miettinen M, Ylitalo A, Laine K, Ojanen S, Nieminen T
Nephrol Dial Transplant 2022 Feb 25;37(3):575-583. doi: 10.1093/ndt/gfab023. PMID: 33527131
Variant Angina and Aborted Sudden Cardiac Death.
Kundu A, Vaze A, Sardar P, Nagy A, Aronow WS, Botkin NF
Curr Cardiol Rep 2018 Mar 8;20(4):26. doi: 10.1007/s11886-018-0963-1. PMID: 29520510
Recurrence risk of ictal asystole in epilepsy.
Hampel KG, Thijs RD, Elger CE, Surges R
Neurology 2017 Aug 22;89(8):785-791. Epub 2017 Jul 26 doi: 10.1212/WNL.0000000000004266. PMID: 28747444Free PMC Article
Derangements of potassium.
Medford-Davis L, Rafique Z
Emerg Med Clin North Am 2014 May;32(2):329-47. Epub 2014 Feb 28 doi: 10.1016/j.emc.2013.12.005. PMID: 24766936

Prognosis

Brugada Syndrome.
Krahn AD, Behr ER, Hamilton R, Probst V, Laksman Z, Han HC
JACC Clin Electrophysiol 2022 Mar;8(3):386-405. doi: 10.1016/j.jacep.2021.12.001. PMID: 35331438
Optimizing defibrillation during cardiac arrest.
Babini G, Ruggeri L, Ristagno G
Curr Opin Crit Care 2021 Jun 1;27(3):246-254. doi: 10.1097/MCC.0000000000000821. PMID: 33797430
The Epileptic Heart: Concept and clinical evidence.
Verrier RL, Pang TD, Nearing BD, Schachter SC
Epilepsy Behav 2020 Apr;105:106946. Epub 2020 Feb 25 doi: 10.1016/j.yebeh.2020.106946. PMID: 32109857
Electrocardiogram-based pulse prediction during cardiopulmonary resuscitation.
Kwok H, Coult J, Blackwood J, Bhandari S, Kudenchuk P, Rea T
Resuscitation 2020 Feb 1;147:104-111. Epub 2019 Nov 29 doi: 10.1016/j.resuscitation.2019.11.021. PMID: 31790755
Using the 12-Lead Electrocardiogram in the Care of Athletic Patients.
Yeo TJ, Sharma S
Cardiol Clin 2016 Nov;34(4):543-555. Epub 2016 Aug 27 doi: 10.1016/j.ccl.2016.06.004. PMID: 27692223

Clinical prediction guides

Syncope, Epilepsy and Ictal Asystole: A Case Series and Narrative Review.
Sowden N, Booth C, Kaye G
Heart Lung Circ 2022 Jan;31(1):25-31. Epub 2021 Aug 6 doi: 10.1016/j.hlc.2021.07.003. PMID: 34366218
Asystole episodes and bradycardia in patients with end-stage renal disease.
Rautavaara J, Kerola T, Kaartinen K, Vilpakka M, Aitkoski A, Anttonen O, Ahvonen J, Koistinen J, Vääräniemi K, Miettinen M, Ylitalo A, Laine K, Ojanen S, Nieminen T
Nephrol Dial Transplant 2022 Feb 25;37(3):575-583. doi: 10.1093/ndt/gfab023. PMID: 33527131
Optimizing defibrillation during cardiac arrest.
Babini G, Ruggeri L, Ristagno G
Curr Opin Crit Care 2021 Jun 1;27(3):246-254. doi: 10.1097/MCC.0000000000000821. PMID: 33797430
Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
Variant Angina and Aborted Sudden Cardiac Death.
Kundu A, Vaze A, Sardar P, Nagy A, Aronow WS, Botkin NF
Curr Cardiol Rep 2018 Mar 8;20(4):26. doi: 10.1007/s11886-018-0963-1. PMID: 29520510

Recent systematic reviews

Screening Electrocardiogram in Young Athletes and Military Members: A Systematic Review and Meta-Analysis.
Lear A, Patel N, Mullen C, Simonson M, Leone V, Koshiaris C, Nunan D
J Athl Train 2022 May 1;57(5):444-451. doi: 10.4085/1062-6050-0746.20. PMID: 34038955Free PMC Article
Snakebite Envenomation and Heart: Systematic Review.
Liblik K, Byun J, Saldarriaga C, Perez GE, Lopez-Santi R, Wyss FQ, Liprandi AS, Martinez-Sellés M, Farina JM, Mendoza I, Burgos LM, Baranchuk A; Neglected Tropical Diseases and other Infectious Diseases affecting the Heart (the NET-Heart project)
Curr Probl Cardiol 2022 Sep;47(9):100861. Epub 2021 Apr 3 doi: 10.1016/j.cpcardiol.2021.100861. PMID: 33992425
CONGENITAL LONG QT SYNDROME: A SYSTEMATIC REVIEW.
Galić E, Bešlić P, Kilić P, Planinić Z, Pašalić A, Galić I, Ćubela VV, Pekić P
Acta Clin Croat 2021 Dec;60(4):739-748. doi: 10.20471/acc.2021.60.04.22. PMID: 35734489Free PMC Article
Recurrence risk of ictal asystole in epilepsy.
Hampel KG, Thijs RD, Elger CE, Surges R
Neurology 2017 Aug 22;89(8):785-791. Epub 2017 Jul 26 doi: 10.1212/WNL.0000000000004266. PMID: 28747444Free PMC Article
The Impending Dilemma of Electrocardiogram Screening in Athletic Children.
Léger L, Gojanovic B, Sekarski N, Meijboom EJ, Mivelaz Y
Pediatr Cardiol 2016 Jan;37(1):1-13. Epub 2015 Aug 20 doi: 10.1007/s00246-015-1239-9. PMID: 26289947

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