What's the cardiac rhythm at the time of cardiac arrest? Disputed dogma or true fact?

It was widely accepted that malignant ventricular arrhythmias (VA) are the main direct initial cause for cardiac arrest and sudden cardiac death (SCD), but diverging data tended to demonstrate that asystole or pulseless activity were becoming the most prevalent cardiac rhythms at the time of cardiac...

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Bibliographic Details
Published in:Europace (London, England) England), 2024-12, Vol.27 (1)
Main Authors: Maury, Philippe, Marimpouy, Nathan, Beneyto, Maxime
Format: Article
Language:English
Subjects:
Arrhythmias, Cardiac - diagnosis
Arrhythmias, Cardiac - physiopathology
Arrhythmias, Cardiac - therapy
Death, Sudden, Cardiac - epidemiology
Death, Sudden, Cardiac - etiology
Death, Sudden, Cardiac - prevention & control
Heart Arrest - physiopathology
Heart Arrest - therapy
Humans
Risk Factors
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Summary:It was widely accepted that malignant ventricular arrhythmias (VA) are the main direct initial cause for cardiac arrest and sudden cardiac death (SCD), but diverging data tended to demonstrate that asystole or pulseless activity were becoming the most prevalent cardiac rhythms at the time of cardiac arrest. We challenge here these conceptions and reinforce the persisting prominent role of VA in SCD.
ISSN:1099-5129
1532-2092
1532-2092
DOI:10.1093/europace/euae299