Adenosine administration in supraventricular tachycardia

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Adenosine administration in supraventricular tachycardia

The ECG during symptoms was strongly suggestive of typical atrial flutter. After adenosine administration, the heart rate slowed for a few seconds because of 3:1 atrioventricular (AV) conduction, but it then changed to 1:1 conduction response (Fig. 1). This was associated with haemodynamic instability, which required electrocardioversion. Although adenosine administration is usually innocuous, ...

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An unusual complication of adenosine administration in supraventricular tachycardia

45 years age female presented with acute onset palpitation. On examination she had tachycardia and a blood pressure of 116/70. ECG was suggestive of NCT (Fig. 1). On administration of 6 mg of intravenous adenosine she developed transient AV block followed by irregular wide complex tachycardia (Fig. 2) and systemic hypotension, requiring DC cardioversion. Electrocardiogram in sinus rhythm showed...

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Guidelines and adenosine dosing in supraventricular tachycardia.

This retrospective review of present practice of administration of adenosine by paediatricians shows that current guidelines recommend starting doses that are effective in only 9% of infants and children.

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Adenosine: novel antiarrhythmic therapy for supraventricular tachycardia.

Adenosine (Adenocard) is a unique new agent for the acute treatment of paroxysmal supraventricular tachycardia (PSVT). Administered by intravenous bolus, it has an onset and duration measured in seconds and greater than 90% efficacy. Its primary effect is to slow atrioventricular nodal conduction, thus converting reentrant forms of PSVT to normal sinus rhythm. Side effects quickly dissipate wit...

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Electrophysiologic effects of adenosine in patients with supraventricular tachycardia.

BACKGROUND We correlated the electrophysiologic (EP) effects of adenosine with tachycardia mechanisms in patients with supraventricular tachycardias (SVT). METHODS AND RESULTS Adenosine was administered to 229 patients with SVTs during EP study: atrioventricular (AV) reentry (AVRT; n=59), typical atrioventricular node reentry (AVNRT; n=82), atypical AVNRT (n=13), permanent junctional reciproc...

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ژورنال

عنوان ژورنال: Netherlands Heart Journal

سال: 2017

ISSN: 1568-5888,1876-6250

DOI: 10.1007/s12471-017-1033-9