Ventricular Standstill & Agonal Rhythm — ECG Academy Lesson

Recognize ventricular standstill and agonal rhythm as terminal ventricular arrest patterns, distinguish them from complete heart block and organized IVR, and escalate immediately.

Learning Objectives

• Identify ventricular standstill by P waves without QRS complexes
• Distinguish ventricular standstill from complete heart block with an escape rhythm
• Recognize agonal rhythm as a terminal, irregular, deteriorating ventricular rhythm
• Differentiate agonal rhythm from organized IVR
• Describe the immediate monitor-tech escalation for both rhythms