Treatment of Paroxysmal Supraventricular Tachycardia in Infancy with Digitalis, Adenosine‐5′‐Triphosphate, and Verapamil: A Comparative Study
@article{Greco1982TreatmentOP,
title={Treatment of Paroxysmal Supraventricular Tachycardia in Infancy with Digitalis, Adenosine‐5′‐Triphosphate, and Verapamil: A Comparative Study},
author={R Greco and B Musto and Vincenzo Arienzo and A Alborino and Salvatore Garofalo and Federico Marsico},
journal={Circulation},
year={1982},
volume={66},
pages={504–508}
}The treatment of paroxysmal supraventricular tachycardia (PSVT) in infancy with digitalis, adenosine triphosphate (ATP) and verapamil is reported. Treatment was successful in about 90% of the patients treated with ATP and verapamil and in 61-71% of the patients treated with digitalis (Lanatoside C). Verapamil terminated the tachycardia within 2 minutes of administration in most instances and ATP less than 1 minute. Digitalis, however, took as long as 2 hours; it was therefore excluded as the…
97 Citations
What Is the Drug of Choice for the Acute Termination of Paroxysmal Supraventricular Tachycardia: Verapamil, Adenosine Triphosphate, or Adenosine?
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Paroxysmal supraventricular tachycardias (PSVT) mediated by a reentry mechanism involving the atriovenfricular (AV) node, represent the most common cause of regular, narrow-complex tachycardia…
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- 1988
It is concluded that ATP (10 to 20 mg) is more effective and more rapid than verapamil (5 or 5 + 5 mg) in terminating PRJT but results in a higher incidence of cardiac and noncardiac side effects.
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- 1992
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- 1991
Adenosine is particularly suitable for the diagnosis of tachycardias and the acute management of PSVT involving the AV node in all age groups, without the risks of cardiac arrest and hypotension associated with verapamil.
RETRACTED ARTICLE: Adenosine triphosphate treatment for
supraventricular tachycardia in infants
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- 2005
The results support the efficacy of ATP for the termination of supraventricular tachycardia, as well as its diagnostic value and its lack of serious side-effects.
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- 2005
There could be a role for adenosine or ATP for safe termination of most cases of SVT in infancy before transferring these infants to a specialised paediatric cardiology department, and the efficiency of ATP for the termination of re-entry types of tachycardia, as well as its diagnostic value and its lack of serious side-effects.
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- 1985
The efficacy of a single oral dose combination of 120 mg diltiazem and 160 mg propranolol in terminating paroxysmal supraventricular tachycardia (PSVT) was evaluated in 15 patients and two patients developed transient second-degree atrioventricular block and junctional rhythm while on dilt Diazem and proPRanolol.
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- 1998
Paroxysmal supraventricular tachycardia caused by atrioventricular re-entry is the most frequent arrhythmia in children of all age groups, and antiarrhythmic class Ic drugs and the class III agent Sotalol, are widely used as the next steps of therapy when digoxin and β-blockers fail to prevent recurrences.
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- 1989
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