Adenosine in the noninvasive diagnosis of dual AV nodal conduction
| Autor: | Dobran Lj, C. Perings, E. G. Vester, S. Dierkes, B. E. Strauer |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Tachycardia
Radiofrequency ablation business.industry medicine.medical_treatment General Medicine Ablation medicine.disease Atrioventricular node Adenosine law.invention medicine.anatomical_structure law Anesthesia medicine Sinus rhythm PR interval medicine.symptom Cardiology and Cardiovascular Medicine business Atrial flutter medicine.drug |
| Zdroj: | Acta Cardiologica. 56:103-108 |
| ISSN: | 0001-5385 |
| DOI: | 10.2143/ac.56.2.2005625 |
| Popis: | Objective -The aim of this study was to evaluate if administration of adenosine during sinus rhythm to patients with PSVT of unknown mechanism is capable to detect dual AV nodal conduction and furthermore to evaluate this diagnostic parameter as a controlling test after slow pathway ablation in AVNRT. Methods and results - Before electrophysiological study 35 consecutive patients with PSVT were given adenosine during sinus rhythm. After radiofrequency ablation the adenosine test was repeated in a subset of 19 patients.The electrophysiological study revealed 19 patients (54%) with typical AVNRT (study group), 10 (29%) with atrioventricular reentry tachycardia (AVRT), 4 (11%) with ectopic atrial tachycardia (EAT) and 2 patients (6%) with inducible atrial flutter (AF) (control group). We observed a sudden increment of the PQ interval of more than 50 msec between two consecutive beats in 15 of 19 patients (79%) in the study group (75 ± 35 msec) and in 2 patients (I with EAT, AF) of the control group (19 ± 12 msec) (p |
| Databáze: | OpenAIRE |
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