Pseudo-pulseless electrical activity: A distinct hemodynamic state in cardiac arrest and its implications for resuscitation

doi:10.12998/wjcc.120233

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Clin Cases. Jul 6, 2026; 14(19): 120233
Published online Jul 6, 2026. doi: 10.12998/wjcc.120233

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Figure 3 Diagnostic framework for pseudo-pulseless electrical activity during cardiopulmonary resuscitation. The figure outlines rhythm identification, pulse assessment, time-limited ultrasound evaluation of cardiac mechanical activity, and adjunctive use of perfusion markers without prolonging interruptions in chest compressions. ACLS: Advanced cardiac life support; CPR: Cardiopulmonary resuscitation; DBP: Diastolic blood pressure; EtCO₂: End-tidal carbon dioxide; PEA: Pulseless electrical activity; POCUS: Point-of-care ultrasound; Pseudo-PEA: Pulseless electrical activity with cardiac mechanical activity.

Citation: Kataria S, Goel S, Juneja D. Pseudo-pulseless electrical activity: A distinct hemodynamic state in cardiac arrest and its implications for resuscitation. World J Clin Cases 2026; 14(19): 120233
URL: https://www.wjgnet.com/2307-8960/full/v14/i19/120233.htm
DOI: https://dx.doi.org/10.12998/wjcc.120233