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- Asystole is a non-shockable rhythm, which means that defibrillation is not recommended1234. Defibrillation may actually make it harder to restart the heart1. Defibrillation is only an option if your heart goes from asystole to a shockable rhythm, which is possible when someone with asystole receives effective CPR1. Asystole is defined as a cardiac arrest rhythm in which there is no discernible electrical activity on the ECG monitor5.Learn more:✕This summary was generated using AI based on multiple online sources. To view the original source information, use the "Learn more" links.Asystole isn't a shockable rhythm, and defibrillation may actually make it harder to restart the heart. Defibrillation is only an option if your heart goes from asystole to a shockable rhythm, which is possible when someone with asystole receives effective CPR.my.clevelandclinic.org/health/symptoms/22920-asy…Pulseless electrical activity and asystole or flatlining (3 and 4), in contrast, are non-shockable, so they don’t respond to defibrillation. These rhythms indicate that the heart muscle itself is dysfunctional; it has stopped listening to the orders to contract. The causes are hard to reverse and survival rates are very low.theconversation.com/mondays-medical-myth-flatlini…The Advanced Life Support guidelines do not recommend defibrillation in asystole. They consider shocks to confer no benefit, and go further claiming that they can cause cardiac damage; something not really founder in the evidence.resus.com.au/shock-patients-asystole/Unlike V-fib or V-tach (other rhythms that are initially treated with defibrillation), asystole does not respond to defib. This is because it is not a shockable rhythm.therneducator.com/asystole-shock-or-not/Asystole is defined as a cardiac arrest rhythm in which there is no discernible electrical activity on the ECG monitor. Consequently, it is sometimes referred to as a “flat line.”acls-algorithms.com/asystole/
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