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7/2/2026 8:02:08 AM | Browse: 2 | Download: 0
Publication Name World Journal of Clinical Cases
Manuscript ID 120233
Country India
Received
2026-02-24 06:41
Peer-Review Started
2026-02-24 06:47
First Decision by Editorial Office Director
2026-04-08 08:31
Return for Revision
2026-04-08 08:31
Revised
2026-04-10 15:16
Publication Fee Transferred
Second Decision by Editor
2026-06-01 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-01 06:29
Articles in Press
2026-06-01 06:29
Edit the Manuscript by Language Editor
2026-06-07 20:17
Typeset the Manuscript
2026-06-17 08:59
Publish the Manuscript Online
2026-07-02 08:02
ISSN 2307-8960 (online)
Open Access 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.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Critical Care Medicine
Manuscript Type Minireviews
Article Title Pseudo-pulseless electrical activity: A distinct hemodynamic state in cardiac arrest and its implications for resuscitation
Manuscript Source Invited Manuscript
All Author List Sahil Kataria, Sargam Goel and Deven Juneja
ORCID
Author(s) ORCID Number
Sahil Kataria http://orcid.org/0000-0002-0756-4154
Sargam Goel http://orcid.org/0000-0002-5413-1458
Deven Juneja http://orcid.org/0000-0002-8841-5678
Funding Agency and Grant Number
Corresponding Author Deven Juneja, Director, MD, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, 1 Press Enclave Road, New Delhi 110017, India. devenjuneja@gmail.com
Key Words Pulseless electrical activity with cardiac mechanical activity; Pulseless electrical activity; Cardiac arrest; Point-of-care ultrasound; End-tidal carbon dioxide; Coronary perfusion pressure; Physiology-guided cardiopulmonary resuscitation
Core Tip Pulseless electrical activity (PEA) is traditionally treated as a uniform non-shockable cardiac arrest rhythm. Yet, bedside ultrasound and perfusion monitoring increasingly reveal a subgroup with residual cardiac mechanical activity called PEA with cardiac mechanical activity. This review reframes PEA with cardiac mechanical activity as a low-flow arrest state rather than true electromechanical dissociation, summarizes prognostic and physiological evidence supporting this distinction, and highlights the limitations of rhythm-based resuscitation algorithms. We propose a structured, physiology-guided resuscitation strategy that integrates time-limited ultrasound with perfusion targets to guide treatment escalation while preserving the quality of cardiopulmonary resuscitation.
Publish Date 2026-07-02 08:02
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://doi.org/10.12998/wjcc.120233
Full Article (PDF) WJCC-14-120233-with-cover.pdf
Manuscript File 120233_Auto_Edited_035624.docx
Answering Reviewers 120233-answering-reviewers.pdf
Audio Core Tip 120233-audio.m4a
Conflict-of-Interest Disclosure Form 120233-conflict-of-interest-statement.pdf
Copyright License Agreement 120233-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 120233-non-native-speakers.pdf
Peer-review Report 120233-peer-reviews.pdf
Scientific Misconduct Check 120233-scientific-misconduct-check.png
Scientific Editor Work List 120233-scientific-editor-work-list.pdf
CrossCheck Report 120233-crosscheck-report.pdf