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asystole

A complete absence of electrical activity and pumping in the heart; a flat line on the monitor.

ay-SIS-tuh-lee noun

Word parts

What it means

The heart has stopped: no electrical signal, no contraction, no pulse. On a heart monitor it looks like a flat or almost flat line. It is a form of cardiac arrest. It is not treated with a shock from a defibrillator; treatment is CPR and epinephrine while the team looks for a reversible cause.

For the nurse

Check the client first: a flat line can be a loose lead. If the client is unresponsive with no pulse, call for help and start cardiopulmonary resuscitationkar-dee-oh-PUL-muh-nair-ee rih-sus-ih-TAY-shunEmergency chest compressions, with or without rescue breaths, to keep blood flowing when the heart has stopped.cardi/o heartpulmon/o lung-ary relating toresuscitation bringing back to lifeFull entry at once. Confirm asystole in more than one monitor lead.

At a glance

Spanishasistolia
Also writtenasystolic

Related terms

cardiopulmonary resuscitation

Emergency chest compressions, with or without rescue breaths, to keep blood flowing when the heart has stopped.

epinephrine

A hormone and drug, also called adrenaline, that raises heart rate and blood pressure and opens the airways.

ventricular fibrillation

A heart rhythm in which the lower chambers quiver in a fast, chaotic way instead of pumping.

sinus rhythm

A heart rhythm that starts in the sinoatrial node, the heart's natural pacemaker.

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