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. Author manuscript; available in PMC: 2017 Apr 17.
Published in final edited form as: Resuscitation. 2016 Jul 25;107:13–18. doi: 10.1016/j.resuscitation.2016.07.006

Table 1.

Definitions for the etiology of cardiac arrest based on the Advanced Resuscitation Training (ART) Matrix.

A cardiac arrest is presumed to be of the following aetiology if deterioration can be primarily attributed to the following:
Ventilation graphic file with name nihms854855t1.jpg Intubated
 Hypoxemia which may be due to known pulmonary disease (pneumonia, chronic obstructive pulmonary disease, asthma, etc.) or with airway obstruction that accompanies a decrease in mental status (due to analgesia/sedation, sleep apnea, hypoglycemia, etc.). Patients are further divided based on airway access prior to the arrest. Non-intubated
Tracheostomy
Rapid sequence intubation
 Includes cardiac arrest as a complication following airway management initiation
Circulation graphic file with name nihms854855t2.jpg Sepsis
 Hypoperfusion which may be due to loss of intravascular volume (including blood loss or fluid shift into the interstitial space), obstruction of forward flow, or secondary to impaired cardiac function.  Clinical syndrome that results from a dysregulated inflammatory response to infection
Hemorrhage
 Includes gastrointestinal bleeding and postoperative blood loss
Pulmonary embolus
Cardiac dysfunction
 Includes congestive heart failure and constrictive disease (ie. pericardial effusion)
Dysrhythmia graphic file with name nihms854855t3.jpg Ventricular fibrillation/ventricular tachycardia
 Abnormality in the rate, regularity, or rhythm of cardiac electrical activity as the primary cause of cardiac arrest. Vagal
 Identified as cardiac arrests preceded by bradycardia in the setting of an identifiable vagal stimulus (i.e. micturation, defecation, deep oral suctioning, position change, etc.)
Neurological
 Acute neurological deficits or alteration in mental status, not attributable to hypoperfusion, hypoxemia, or hypoglycemia, which may include cerebrovascular accident or intracranial hemorrhage.
Unknown
 Cause of arrest is not know n or could not be classified as any of the options above.