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浙江大学学报（医学版）
浙江大学学报（医学版）  1992, Vol. 21 Issue (4): 149-151    DOI: 10.3785/j.issn.1008-9292.1992.04.003
论著     
三磷酸腺苷和异搏定治疗室上性心动过速的对比研究
傅国胜, 单江, 楼福庆
浙江医科大学附属第二医院心内科
COMPARATIVE STUDIES ON THE THERAPEUTIC EFFECT OF ADENOSINE TRIPHOSPHATE AND VERAPAMIL ON SUPRAVENTRICULAR TACHYCARDIA
Fu Guosheng, Shan Jang, Lou Fuqing
Cardiovascular Department, Second Affiliated Hospital
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摘要：

本文依据ATP的超短半衷期特性,在同一病例一次电生理检查时,比较了ATP和异搏定对27例SVT的终止作用.结果ATP和异搏定对SVT的疗效均为92.6%(25/27),ATP起效快,但瞬间心律失常和副反应均显着高于异搏定;阿托品可提高ATP的有效率,减少瞬间心律失常和副反应;对异搏定无效及重复诱发SVT者,用ATP安全有效.
关键词： 阵发性心动过速/药物疗法;  腺苷三磷酸/治疗应用;  维拉帕米/治疗应用    
Abstract:

The clinical effects of adenosine triphosphate (ATP) and verapamil were compared in patients with supraventricular tachycardia (SVT) during a single electrophysiologic test, according to ultra-short half-life of ATP. Both ATP and verapamil had a high terminating rate with SVT (25/27 vs 25/27). ATP was more rapid than verapamil in terminating SVT, but would resulted in a higher incidence of transient arrhythmia and none-cardiac side-effects, which could be reduced by atropin. The use of ATP for SVT conversion was safe and effective when verapamil was ineffective or SVT was reinduced.
Key words: Tachycardia, Paroxysmal/drug ther    Adenosine triphosphate/ther use    Verapamil/ther use
收稿日期: 1991-10-10 出版日期: 1992-07-25
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傅国胜
单江
楼福庆

引用本文:

傅国胜, 单江, 楼福庆. 三磷酸腺苷和异搏定治疗室上性心动过速的对比研究[J]. 浙江大学学报（医学版）, 1992, 21(4): 149-151.

Fu Guosheng, Shan Jang, Lou Fuqing. COMPARATIVE STUDIES ON THE THERAPEUTIC EFFECT OF ADENOSINE TRIPHOSPHATE AND VERAPAMIL ON SUPRAVENTRICULAR TACHYCARDIA. Journal of ZheJiang University(Medical Science), 1992, 21(4): 149-151.

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https://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.1992.04.003    或    https://www.zjujournals.com/med/CN/Y1992/V21/I4/149

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