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异搏定、心律平和三磷酸腺苷终止室上性心动过速的对比 被引量:5

EFFECTS OF VERAPAMIL, PROPAFENONE AND ATP IN TERMINATING SUPRAVENTRICULAR TACHYCARDIA: A COMPARATIVE STUDY
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摘要 本文以随机分组的方法,用食管心电图比较异搏定、心律平和三磷酸腺苷(ATP)终止室上性心动过速的疗效及转复过程,并对其作用机制进行初步探讨。对象及方法室上性心动过速选择持续发作10分钟以上的患者(包括自发和食管调搏诱发者)。所有患者均患有房室结折返性心动过速(AVNRT) Sixty patients with sustained supravcntricular tachycardia (SVT)were treated with intravenous verapamil., propafenone, or ATP on a randomized basis. Esophageal electrocar-diogram was used to monitor the course of conversion and drug effect, especially the site of termination. Propafenone was effective in terminating SVT(75%)with very smooth course, whereas a little lower conversion rate was shown with verapamil (70%). Although the successful rate is very high in ATP group (100%), this drug should be used with caution because of the unstable course after conversion and significant high incidence of side effect.
出处 《中国循环杂志》 CSCD 1989年第4期340-341,394,共3页 Chinese Circulation Journal
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同被引文献15

  • 1方圻,王思让.心律失常的临床对策[J].中华心血管病杂志,1993,21(1):5-14. 被引量:39
  • 2李蕙兰,马玉兴.三磷酸腺苷终止阵发性室上速的观察[J].心电学杂志,1989,8(3):150-152. 被引量:3
  • 3陈亦玑 陈良光 等.169例阵发性室上性心动过速几种药物立即复律疗效观察[J].中国循环杂志,1990,5:146-147.
  • 4宋有城 方卫华 等.静脉注射三磷酸腺苷(ATP)终止室上性心动过速(SVT)的心电图分析[J].中国循环杂志,1988,2:26-27.
  • 5吴宁.室上性心动过速的诊断治疗[J]中国循环杂志,1988(02).
  • 6冯德勋,屈松柏.ATP治疗室上速致支气管痉挛一例[J]临床心血管病杂志,1987(02).
  • 7Komor K,et al.Adenosine triphosphate in paroxysmal tachycardia. The Lancet . 1955
  • 8Somlo E.Adenasine triphosphate in paroxysmal tachycardia. The Lancet . 1955
  • 9James TN.The Chronotropic action of ATP and related Conpounds studied by direct Perfusion of sinus node. Journal of Pharmacology and Experimental Therapeutics . 1965
  • 10CLarke B,et al. The Lancet . 1987

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