Question 236 · LEK · Heart rhythm analysis

A 39-year-old man with obesity (BMI=44 kg/m²) was transported by the emergency medical services (ZRM) to the emergency department. The cardiac monitor shows asystole with P waves. In this case the ERC guidelines recommend:

  1. A. pharmacological cardioversion.
  2. B. electrical cardioversion.
  3. C. defibrillation.
  4. D. cardiac pacing.
  5. E. none of the above.
Hint

P waves without QRS complexes mean the atria depolarise but the ventricles do not — what can bypass that block?

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