Adenosine yog thawj cov tshuaj siv nyob rau hauv kho qhov chaw nqaim-complex SVT (Supraventricular tachycardia)Tam sim no, adenosine kuj tseem siv tau rau cov monomorphic wide-complex tachycardia. Thaum muab raws li IV bolus sai, adenosine slows cardiac conduction tshwj xeeb tshaj yog cuam tshuam rau conduction los ntawm AV node.
Dab tsi yog qhov qhia rau adenosine?
Kev Qhia thiab Kev Siv
Intravenous Adenocard (kev txhaj tshuaj adenosine) yog qhia rau hauv qab no. Kev hloov pauv mus rau qhov ntswg atherosclerosis ntawm paroxysmal supraventricular tachycardia (PSVT), suav nrog qhov cuam tshuam nrog cov khoom siv hla dhau (Wolff-Parkinson-White Syndrome).
Adenosine siv rau dab tsi?
ADENOSINE (a DEN uh pom) yog siv coj koj lub siab rov qab mus rau qhov qub. Cov tshuaj no tsis muaj txiaj ntsig rau txhua hom kev mob plawv tsis zoo. Nws tuaj yeem siv los kuaj lub plawv rau tus kab mob coronary artery.
Thaum twg yuav muab adenosine thaum muaj xwm txheej ceev?
Hauv ED, adenosine yog siv txhawm rau txiav tawm supraventricular tachycardias (SVTs). Nws kuj yog siv los ntawm cov kws kho plawv rau kev kuaj tshuaj rau kev ntxhov siab. Paroxysmal SVT muaj qhov tshwm sim ntawm ib ncig ntawm 2.25 rau 1000 [1].
Thaum twg yuav tsum kho adenosine?
tam sim hluav taws xob cardioversion yog qhia yog tias qhov arrhythmia cuam tshuam nrog hemodynamic vau. Adenosine yog cov tshuaj nyiam rau cov neeg mob uas verapamil tau ua tsis tiav lossistuaj yeem ua rau muaj kev phom sij, xws li cov neeg mob plawv tsis ua haujlwm lossis tachycardia dav.
