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발작성상심실성 빈맥환자에서 Adenosine 과 Verapamil 의 치료효과

Other Titles
 A Comparison of Adenosine and Verapamil for the Treatment of Paroxysmal Supraventricular Tachycardia 
 오진호  ;  최성욱  ;  김승호 
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.9(3) : 401-406, 1998 
Journal Title
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지) 
Issue Date
Background According to the 1992 version of ACLS guideline, adenosine is recommended as the first line drug for the treatment of paroxysmal supraventricular tachycardia(PSVT). But adenosine is not used fiequently in our country, despite currently proven effect and safety Therefore we tried to compare the efficacy and safety of adenosine with verapamil for the treatment for PSVT. Materials and Methods. We prospectively reviewed charts of PSVT patients admitted to YongDong Severance Hospital from Jan 1995 to Dec 1996 These patients were randomly divided into two groups. The first group was given 6mg of adenosine initially, and another 12mg was given within 5 minutes if first dose failed The other group was given 5mg of verapamil initially, and if failed, 10mg was given within 10 minutes. The results were analyzed by Chi-square test and student-t method Results In converting PSVT to normal rhythm, adenosine and verapamil showed similar results and there was no difference between the two groups in fiequecy of side effects, but serious arrhythmia such as ventricular fibrillation and ventricular tachycardia was not seen in the adenosine group. Conclusion Adenosine not only showed comparable effect and safety, but also had shorter action time tban vera- pamil, Therefpre we recommand adenosine, as a safe and effective first line drug for PSVT
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1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seung Ho(김승호)
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