[Clinical effectiveness, adverse effects and complications of intravenous administration of ATP in paroxysmal tachycardia]

Autor: T N, Lipnitskiĭ, V I, Denisiuk, A G, Randin, A V, Stepaniuk, O V, Muravitskiĭ
Rok vydání: 1993
Předmět:
Zdroj: Kardiologiia. 33(1)
ISSN: 0022-9040
Popis: Forty patients with paroxysmal tachycardias were studied. After intravenous bolus administration of ATP, 10-20 mg sinus rhythm restored in 24 patients with nodal reciprocal tachycardia or Wolff-Parkinson-White syndrome. In patients with ventricular tachycardia, antidromal paroxysmal tachycardia in the presence of the Wolff-Parkinson-White syndrome and atrial flutter, bolus administration of ATP made the diagnosis more precise. Adverse reactions were seen in 75% of patients. There was a case of cardiac asystole, 50 sec long, with symptoms of clinical death. The sick sinus syndrome and atrioventricular block are regarded as a contraindication for bolus administration of ATP due to binodal dysfunction induced by the agent.
Databáze: OpenAIRE