Background: Asystole i.e. cardiac standstill is a state with no cardiac output and no ventricular depolarization. It eventually occurs in all dying patients. Case Report: Herein we present a case of asystole who recovered after prolonged cardio-pulmonary resuscitation and was successfully discharged after permanent pacemaker implantation. Conclusion: Use of a pacemaker in patients with high-grade heart block or sinus arrest can prevent primary asystole.