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  • Title: [The clinical usefulness and efficacy of adenosine triphosphate in an emergency service].
    Author: Roig García JJ, Jiménez Murillo LM, Clemente Millán MJ, González Barranco JM, Segura Saint-Gerons J, Montero Pérez FJ.
    Journal: Rev Clin Esp; 1994 Aug; 194(8):594-8. PubMed ID: 7938837.
    Abstract:
    We studied 89 patients diagnosed in our emergency department of paroxysmal supraventricular tachycardia, to describe the efficacy and safety of intravenous adenosine triphosphate (ATP) in their treatment. All received a first bolus of 10 mg of ATP and if no electrical response was observed, a second dose of 20 mg. This treatment was successful in 91% of the patients, lasting of 26.9 seconds to resolve the episode, and in the 53% of the patients with the first dose. In 9% of the patients ATP did not resolve the episode but allowed to diagnose it, which in five patients was atrial flutter, in 2 Wolff-Parkinson-White syndrome and in one atrial fibrillation. Adverse effects appeared in 25.6% of the cases, being in all transitory and banal. ATP is a very effective and safe drug for the treatment of patients with PSVT.
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