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- čas přidán 18. 04. 2009
- Also known as Secondary Ventricular Standstill.
Inherent Rate: Less than 20 Ventricular beats per minute. ACLS algorithm per Asystole protocols must be initiated immediately.
INTERVENTIONS: based on AHA 2016 ACLS Guidelines.
- Perform high-quality CPR
- Start IV/IO, draw/send labs
- Give Epinephrine 1 mg (1:10,00 solution) IV/IO followed by a 10-20 mL NS/LR flush, repeat every 3-5 minutes
- Correct possible causes
- Consider advanced airway
- NO shock! There are no erratic impulses to stop
It's incredible to see that even we're close to death, the heart continues trying to pump blood into our body, trying to sustain it, until the last breathing...
You should become a poet if you aren't already
it is not TRYING, just few alive cells are TWITCHING
@@w.d.gaster312 all he did is type a comment
ayo ralsei?
We are dying because our heart is not working
Considering these are our heart's last signal, few alive cells desperately vibrating to get the blood flowing, it's so ironically calm. That's what scares me.
I agree
dying is natural... the body knows when its time..
h0i!
I disagree fuck you all
@@FrostyYT69 No u
They are either on the very verge of dying or are dead. It's pretty much a flat line, but the heart is eternally struggling for life.
They are on the very verge of death, someone with this heartbeat are taking its last beats
The fact that the heart still continues to try to beat when you have no hope of living just shows how loyal it is.
nah its called "still having electrotyles in your blood"
An agonal rhythm means the heart is not pumping at all. Its a fish out of water that has stopped flopping around.
Just so you know. Fine VF is the death warning, Agonal is the beginning of the heart's flatline, and Asystole is when the heart fails and then flatlines(dies).
Atonal is rarely seen after fine vf during cardiac arrest
@W.D.Gaster
*agonal
Also yes this is my alt
You can recover Asystole by CPR
@@n0b0pygamer38 ik
For 5 mins
The horrifying and sad fact is that you can slowly watch the HR flash in and out as this poor persons last signs of life fade away and they go to heaven
the alarms were silenced you can see the bell icon with a cross in the middle this is a simulation with a hp codemaster
Yes I know but if it was a real person dying that is what I would feel like
or hell
Thats exactly where you're going @@Cycles42
The music is so eerie and scary especially if you start to think of death
Mr Penguin2 when I hear this music, its sounds as if I'm hearing it simply say "it is done".
Agonal can be treated if the right steps are done. I asked a doctor from Harrison, KY and they stabilized a patient that was in Agonal.
Yes, it is possible, although chances are very low.
you need to have a shitton of luck, its like a 5% chance
maybe, the rate of success is low, when the body is ready to die... it dies
the prognosis is really bad, about on par with asystole
@@dragonfireproductions790 much more like 0,5% considering the huge amount of the heart´s cells that aren´t working anymore when this rhythm occurs...
I have also heard of this as being Ventricular Bradycardia. Slow heart rate and wide QRS with no P waves means ventricular rhythm. This is commonly seen after V fib but so is NSR. V tach is another commonly seen rhythm after V fib is treated or is paroxysmal(rare for V fib to be paroxysmal. Usually if it is paroxysmal, it is V tach or A fib). I wouldn't be surprised if a person dying of old age had Agonal or Ventricular Bradycardia in those last few moments when they are still breathing but are unconscious.
Caters Carrots Typically, patients will start out in Pulseless VT, then progress to Coarse VF, then to Fine VF, then to Asystole. You don't see agonal very often, but I've seen instances of patients being defibrillated in VF and then going to Agonal after the shock. As for the elders being in Agonal, I could understand that.
Caters Carrots This is a transition rhythm between fine VF and Asystole and that yea,Dying persons often get into Agonal prior to death as it is infact a rhythm representing a dying heart
@@LividCruiser I heard about that before but could this be caused but a huge heart attack because blocked blood vessels would mean most of the cells are dead and the last ones are pumping still, Am I right on this!?
I think so
@@help6606 no cuz it still has a pulse
usually it’s st elevation -> v tach -> v fib -> flatline
Looking at this, that there are our heart's last signals, the few alive cells in the ventricles trying to contract to get the blood flowing... The heart is like: Please, I'm struggling for the life, please just help me, do not let me go into flatline!
The heart is struggling, to keep the brain alive until the last breaths....
Veshremy
A person experiencing agonal rhythm is no longer conscious, but reflexes in the brainstem are trying to keep them alive. Unfortunately, once a person's heart is in an agonal rhythm, *death is imminent*
This music is so eerie, especially if you think about what is going on inside the heart when this happens.
The heart that was been with you though all those great moments in your life, beating away with a lovely sinus rhythm has sadly had it's last beat and now replaced with nothing but the occasional wide and unrecognisably bizarre QRS complex as the heart cells die it tries and tries weakly but fails leaving nothing but a flatline.
Knuckles the Echidna Yes,We have to appreciate our life,cuz we never know when......we'll end up in Asystole
You should try poetry, no kidding, you really seem to have it on you.
Listen, i don't want to mean any bad, but i can't take your poetry seriously with your knuckles the echidna profile name and logo. No offence
this isnt sinus, far from a QRS... this is a Ventricular only beat...the his-pejukabi fibers firing with what little electrical signal remains... this rythm is end of life
@@xCmOn3yx777 You mean Purkinje fibers
Heart : Bye Bye Cruel World.
That rhythm isnt able to see with test....so its mean someone passed away with his last cell's try
I’m not a doctor or anything, but a heart beating at 18 beats per minute is definitely not normal
@A.J. Peters oh :(
the person is nearly dead
@@rebekah_0918 bpm Sad
This is a scary heart beat because since CPR or any resuscitation methods didn’t save the patient, the patient will soon die and then a-systole will occur.
The heart is dying, the atria have given up, the last P wave is in the past now, a cell deep in the suffocating ventricles fires, struggling desperately holding on to a glimmer of distant hope of just one more heartbeat, it's whole world is disappearing around it as the neighbouring cells it once spent many happy memories of that strong QRS complex are dying off until it too joins them inside the heart in the sky.
You make this look so poetic, so dramatic. You'd do a good writer.
Damn, you would make a pretty good writer.
This almost made me cry.
_Almost._
This video is a simulation of agonal episodes yet you just made me emotionally live this
you made some absurd mixture of all the adjectives and adverbs, thinking it would look 'kewl', but messed up with the incorrect usage of it's and its.
I think agonal is worse than asystole. If we consider that in asystole, if recent, the big majority of heart cells are still alive.
But agonal is specifically caused by the death of almost every cell on the heart.
There is, however, asystole that comes after agonal, and if it's that the case, my above statement is invalid.
PostData: I'm not saying you can't stabilize an agonal patient, but the prognosis is extremely poor.
Agonal is the last semblance of electrical activity of the heart prior to death. It represents a dying heart and has been seen on even people dying from old age.
velaachlorine Agonal is considered as Asystole due to its same lethal effects,Its prognosis count is included in Asystole as well,But majority of cases of revival seen are of Asystole. So your hypothesis is justified.
velaachlorine In Agonal,If the heart cells are dead it cannot contract anymore or transfer electrical signals. But the main point is its not only the last electrical activity of the heart prior to death but also the transition stage beteween VF and Asystole/death
Yeah recent asystole is more treatable with adrenaline than agonal because it’s more cells are alive adrenaline will force blood into the heart restarting it
I'm not a doctor, but I think that the asystole that comes after agonal rhythm is way less treatable than that that occurs after v fib (correct me if I'm wrong). Because in v fib asystole most cells are alive and can be restarted. But after agonal rhythm asystole most of the cells are dead so restarting the heart is much harder. Correct me if I'm wrong.
Respect bro died for us
🤨
Is this what happens right before a heart stops completely?
Well, this usually happens from old age where a majority of the heart cells and dead and few alive cells vibrating to get the blood flowing. Asystole can happen from a cardiac arrest or a myocardial infarction, which is also different because most of the cells are still alive.
@@n0b0pygamer38 So since in this case most of the cells would be dead, a heart transplant would be a good treatment?
@@FutureAIDev2015 Well in this case, a transplant would take too much time, since all the organs are barley getting an oxygen, so all the organs would be dead by the time it was done.
@@FutureAIDev2015 theoretically that would be the ideal treatment if it could be done immediately, but usually this is combined with multiple organ failure indicative of imminent death, either due to body old age, or heart has deteriorated to a point that it hasn't been pumping blood efficiently for quite a while and other organs have failed
You start feeling pain in your chest. Minutes pass with the doctors trying to correct the situation, but to no avail. The Grim Reaper walks in the room, it gets very cold. The heart, with only few alive cells, desperately shaking, clinging onto life by a hair's width, tries to get the heart to beat normally, with the other organs, starved of oxygen, begging and pleading for the heart to restart, but it's too late. The last P waves and T waves are in the past now. The feeling of despondence fills the room as your heart rate is flashing in and out of an actual reading. You see a light, and and afterlife. Minutes pass as the medical team try to revert your heart back to normal, but to no avail. The Grim Reaper plunges his scythe into your chest. The last QRS complex, has completely flattened. The lovely, neat, and organized sinus wave your heart beats in, has just went in shambles. The doctor, trying to pull your soul back into its body, desperately does chest compressions, but, it's too late. Not only are you asystolic, you are now officially declared dead. With your roaming soul in limbo, you decide to go to purgatory, where you turn in a document of your entire life, featuring every single virtue, and every single sin. You barely pass with 35 virtues and 34 sins committed, totalling to 69. Nice. You are now in heaven. It is peaceful here. With bright scenery and shiny buildings, your story ends here.
0 comments? Lemme fix that.
It's basically the heart struggling to keep alive and pump blood to the Spleen, Lungs, Liver, Brain, Stomach, Bladder, Thyroid, and the Intestines, And Destiny Nightstar You can be revived back to the sinus rhythm.
Old ppl's heartbeats
The last rhythm of life, until the last heartbeat…
video aside, that ambient sound is beautiful
This is a end of life rythm R.I.P for that dead guy
Lily Lily Sir it's a simulation
This Is Due To Lung Failure Or The Heart Was Beating TOO FAST And The Sinus Node Missed The Atria And That Happens Sometimes It Will End Up In V-Tach
Sorry! But there no wrong impulses to stop
my dad died of stage 4 lung cancer in the ER last night while i was asleep. his last words to my mom was asking where I was. i was sleeping. doctors said he was gasping for air, so this is likely what happened before he died. i didnt even get to see him man
oh.. I feel sorry for you
and in this agnoal the QRS seens to be very wide and flattened is on end cardic ryhthm with asystole quickly ensuing.
The saddest thing is that our hearts last signals and the heart still pumping blood throughout the body trying to keep it alive for the last breath
such eerie sounds
Way dose it go up and down like that when the heart is beating while it’s counting each beep it’s confusing 1:01
Much more scarier than any other things.
치열한 제세동기와의 사투 끝에 미친 듯이 발발 떠는 심장과 요란스럽게 울려퍼지는 비프음이 꺼지고 눈앞에 이 파형이 보인다면 의사와 가족들의 심정은 어떨까
Yu ldba
@андур абзундархуле The comment says "even after all that defibrillations and heart vibrating like it's crazy, the beep stops and this(agonal) shows up on the screen, the patient's family and doctors must be very sad." It means they do defibrillation before agonal, but failed
작년 이 맘때쯤 심장마비로 죽은 친구가 있는데 그 친구의 학급번호가 18번입니다.. 그러니 이걸 시청하고있는 저는 더 마음이 안좋네요 ㅠㅠ
The music is so calming.. By the way, it’s called Molten Core by Aalborg Ambient Soundtracks
I don't think is an agonal. The morphology and the high rate makes me think it's a slower version of idioventricular rythm. Administration of norepinephrine @ 2-3ml/mg depending on age and sex of the patient. True agonal will have much wider comples with extremely bizzare morphology and the rate almost always remain below 15.
It's a simulation that's why
This is eerie af
More info:
Agonal rhythms are dysrhythmias, most recognized as the last ordered semblance of heart activity before asystole. Agonal, ventricular in origin, is caused by weak cardiac contractions in a person's last moments before completely shutting down.
Damn that looked like a sad song, it almost made me cry tbh
Is this the most common rhythm seen with PEA (pulseless electrical activity)?
Pulseless V-Tach.
Rest In Peace.
Can you imediantly fix this agonal by fast injection of atropin or suprarenin? Or do you have to start cpr? (I hope you do understand, my English is not very well ;-)
The treatment should be injecting adrenaline (epinephrine) and starting immediate CPR, but the chances of recovering are extremely low. I'm not a native English speaker either. ;)
VelaBird even IF the patient is able to return to Normal Sinus, there is a high possibility of irreversible brain damage. You don’t come out of a situation like this with all your facilities intact.
Thankfully SimMan has this Rhythm.
Fantastic
STAYIN ALIVE STAYIN ALIVE
this is not a good picture,START CPR,Patients have been known to return to sinus rythm after intervention
@spyrosasavr If you're sinus brad', you need to cut the excercise program. Your heart will recover to 51 bpm.
@chervarium when this happens the QRS is very wide and flattened and this is known as a end stage cardic ryhthm with asystole quickly happening.
0 comments? Lemme fix that.
This is like an atrial standstill
WOAH THERE THAT IS DEATH STRIKE RIGHT THERE.
@angelsgurl understood. Thx.
is this means dead?
yeah.
It's a wave that's seen when all the pacemakers are dead, and there's no chance anymore.
In this case, the heart is severely damaged, so some cells may have seizures, but it is meaningless.
18 HR SO COSTE to dead
People this is a simulation
is not you dumb fuck
@@MoldySalami how do you know?
@@tangerin_han wow I don't even remember commenting that hahahahah lol
No Name Damn
@@MoldySalami hey language
Does it hurt in real life?
Mostly no, patients are unconscious during agonal heart rhythm.
Zaiman Syahzmi um
Agonal is painless.
What if you were conscious during agonal rythum
@@lelaassang5599 You can't be mate.
18 bpm?!??!?!!?
Me when a chat in a Discord server is "dead" :
has anyone here seen cells at work black? yeah this is making me think of every cell in the body begging the heart to fight and restart🥺
I've remember having this rhythm but it was gone
This is when your time on earth is well.. i guess up
You would have died. Most of your cardiac muscle will have died which makes it completely impossible to revive you
@@gregpackk I keep forgetting to delete this comment my comment is dead
those p waves are larger than my brain oh my god
code blue?
yes
Wait, code blue died from agonal??? I've always heard it was a car accident
heart: oxygen?? help me please.
oxygen: i sadly dont have enough of me to help.. i am suffering, constant agonal breath. i need help to help you
Agonal breathing is so deceptive. Crazy to watch it’s rhythm.
That's what I said, VA (flat line) will follow in no time. Neither adrenaline nor atropine will revert it. One may think of bicarbonate push and repeated adrenaline push, to no avail :).
so horrifying
one should never see this rhythm 😢
What it means?
Flatline is better than this.
Thank you guys for replies.
Agonal heart rhythm is considered a form of Asystole (aka a flatline), Agonal is a treatable rhythm, but the chances of these efforts being successful are EXTREMELY low. This is pretty much the heart’s last signals of life before true death arrives. At this point, a vast majority of the heart cells are dead or are dying out, while the heart cells that are still remaining are trying to keep the heart beating until they can’t anymore.
most of the heart cells died
Lifepak 15: Start CPR 1:46 remaining
Meanwhile the molten core plays
Si. ekg que te dijo la doctora de la tarde que te
My girlfriend takes seizures that leads to this or v fib. She is 21.
Fun Fact:Agonal is a End of Life Heart beat
Yes....
WAIT A WHILE: No erratic impulses to stop.
Shock is Not needed bc There is no erratic Pulses/Changes. Start CPR immediately, A Person under 20 Bpm (
The End-of-life Rhythm can be treaten but is has a success Rate is
Wow, I never would have known
I would literally DIE if i had this 👌🏻😂
Don't laugh, this is the true
the heart beat HR is 13 and is very dangerouts for old age
tingmarco1. On the heart monitor, it says 18, not 13.
It normal for me.
- - -
@@lelaassang5599 you still alive?
@@lelaassang5599 are you still alive
2year When I was young my heart is getting 120bp fast to 103bp litter fast
redbulls huh
Вот и помер дед Максим...
All you guys will go through this
Ok
not true
It's true
Incorrect
In most cases, agonal heartbeat is skipped and your heart goes straight to asystole
Oh no 😭
Is hie stil a life or is hie dead?
Dead
You are only alive if your heart rate is 60 to 90 bpm if your heart rate goes above you are dead and if it goes below you are dead
I am still alive
I want to live for 987 years
This is simulation
At first , i thought it was bradycardia to asystole but it was agonal. Like it doesn’t make sense bro.
oh my god i am dyіng
Agonal = VERY close to death
No,
Agonal = Just DEAD.
it's slow idioventricular rhythm actually
I heard that they revived a patient in an agonal rythm, so it is possible if you know how to
when you discovers death is only a mile from you
@@H4n_uL No it’s close to death because there is still QRS’s in the rhythm and because it is not asystole. (flatline)
Goioing toRSR
This will degrade to ventricular Asystole within minutes
WHAT Do You Mean Ventricular Asystole After Agonal Few Alive Cells Will Only Have Enough Power For The QRS Complex This Causes An Even SSLLOOWWEER Heart Rate Also That QRS Complex Will Become Smaller And Asystole
Wide complex QRS bradi', an escape / ventricular standstill. This signifies massive myocardial death. Hadn't it been a defib's test sequence, I'd have turned the surrounding machines off, 'tmakes no sense. Nothing reverts this rhythm.
Game over, no chance of revive
Is this your subjective opinion or there is a probability to prove this?
겁나 낮은 확률로 살릴 수도 있긴 함.. 진짜 겁~~~~~~~~~나 낮은확률..
@@alaas1041yeah nah sorry genuinely no revive
@@arny625 based on what? Maybe if you know what to do you could save the person (at least with permanent brain, organ damage)
I guess that you say its impossible because most neurons die in the brain. But there is a possibility that life-needed neurons are still untoched. So maybe you can stil save a person
@@alaas1041 what you see is the heart unable to work unable to pump blood unable to send signals probably due to lack of o2 or old age there is too much of a pause between beats I feel like from the music in that video it’s much clear it’s a variant of asystole it’s not shockable & hard to come back from meditation can maybe bring them back but depending it may have caused problems by then there will be damage to the heart lungs brain etc
Too empty!
I don't like ppl dying man
It will happen to you one day and you can do nothing about it
😰😰😰😰
This heart rate would not support life. They are dying or dead.
Tenom1 Probablly the rest of the body is dead,Deprived of oxygen while the heart is still partly alive and are struggling to beat
This is caused by either cardiac arrest or a stroke
no
ᴛʜᴀᴛs 18ʙᴘᴍ sᴏᴏ sʟᴏᴡ
Agonal is dead 😟
Warning
The app will closed about 3-4 app because online school is tommery so sorry i cant play any more :( sorry
Made by me
????
@@notlucas6859 oh i said coronavirus
wat
?????????????
you do nothing. this will degrade into asystolia in few mins. this guy's dead.
Go
Go where?
@@princefluff08 um... sky Go
Oh
They mean
You die
Go to the heaven
Why was this the one this that made me laugh today