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ATP treatment of paroxysmal supraventricular tachycardia in 12 cases

Of supraventricular tachycardia (PSVT) is a common clinical emergency,[link widoczny dla zalogowanych], if not promptly treated can lead to cardiogenic shock and heart failure, even life-threatening. I lz cases in recent 3 years of this disease were treated with adenosine triphosphate (ATP) therapy, is effective. Reported below. 1.1 General information on clinical data 1 male 8 down and 4 women down; aged 19 to 58 years; hypertension and coronary heart disease and 1 exception, no more than 1O down organic heart epilepsy. ECG 1.2 ring were confirmed PSVT, narrow QRS wave group, R-R never heard of ventricular rate Leveling} 16O ~ 240 times / rain1.3 treatment after diagnosis, supine body of information, to be oxygen, monitoring ECG and blood pressure, and the establishment of intravenous access. Were treated with ATP. However, the specific dosage and is slightly different: 4 fall within 5s. Rapid intravenous injection ATP10mg. F5 12s average fell to terminate seizures within 6 ~ 10s. Intravenous injection ATP1Omg, 2rain after the invalid, then 10rag, the average 14s termination of seizures; 3 down at 6 ~ 10s, the intravenous injection ATP10mR, 2min after the invalid, use 20mgATP intravenous injection, the average fell 5s 2 terminates attack . Another one down ATP treatment fails, switch to sinus rhythm cardioversion propafenone treatment outcomes in this group 1z 1.4 cases of sinus rhythm when transferred by ATP, 9 do have the dizziness, stretching palpitations,[link widoczny dla zalogowanych], chest tightness, nausea, vomiting, shortness of breath, precordial discomfort} found to have sinus standstill, sinus heart over Xinjiang,[link widoczny dla zalogowanych], l Cases I. AVB, are the white lines disappear in a few seconds, no special treatment. Treatment of 11 cases of sinus rhythm after cardioversion, l cases of failure. 2 to discuss conditions in view of primary hospital, unable to suppress the use of speed or rhythm synchronized cardioversion shock. But to use drugs. Although pSVT available drugs a lot. However, due to different levels of side effects and the longer time required for termination of seizures affect efficacy, it is nearly 3 years in our hospital with ATP for 12 down, and achieved satisfactory results (only 1 down failed) 2.1 is effective both in [or in this group It can be seen, ATP treatment PSVT high efficacy, rapid cardioversion, short-term can be reused, and no accumulation of 824 * effect. Acute termination of PSVT can be used as the drug of choice. 2.2 ATP side effects side effects can be divided into cardiac and noncardiac categories 0, if the group does a lot of side effects l2 down,[link widoczny dla zalogowanych], but these reactions, including transient arrhythmias. Hear a short duration, without special treatment, thus, ATP treatment of PSVT is worth promoting. 2.3 ATP bolus should not be abused patients often have different degrees of systemic reactions and cardiac symptoms, and some even still a serious sinus, atrioventricular block, and anaphylactic shock and severe hypotension, for which the need for strict choice of cases have heart block, sick sinus syndrome, coronary heart disease, severe heart failure, asthma, elderly patients and a history of allergy should be banned. 0 2.4 shed close observation for safety, accident prevention in the treatment of smell. Be careful to take intravenous injection speed. Be sure to make emergency preparations to monitor the ECG or ECG monitoring carried out under conditions of no monitoring can be injected side edge auscultation. Close observation of patients with systemic reactions, such as heart appears over Xinjiang, sinus, sinus arrest should be immediately discontinued. [
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