アデノシンの電気生理学的効果は,上心室性短心症の患者における
K A Glatter1, J Cheng, P Dorostkar
1Cardiovascular Research Institute and Section of Cardiac Electrophysiology, University of California-San Francisco, CA, USA.
Circulation
|March 2, 1999
まとめ
アデノシン (adenosine) とは,アデノシン (adenosine) とは,アデノシン (adenosine) とは
科学分野:
- 心臓病学 心臓病学
- 電気生理学 電気生理学
背景:
- アデノシンの電気生理学的 (EP) 効果は,上心室性心拍動症 (SVT) の患者における心拍動脈のメカニズムと相関していた.
研究 の 目的:
- SVTメカニズムを区別するアデノシンの有用性を評価する.
- 異なるタヒカルディアタイプと相関するアデノシンに対する特定のEP応答を特定するために.
主な方法:
- EP研究中,アデノシンは様々なSVTを患った229人の患者に投与されました.
- 心拍の変化,間隔 (心房,心房,心房),および心拍停止の観察および記録された変化.
- 異なるSVTサブタイプにおけるアデノシン反応の比較:AVRT,AVNRT,PJRT,AT,IST.
主要な成果:
- アデノシンは,AVRTとAVNRTのAVノードで似たような心拍停止率を示した.
- AVRTでは心房間隔 (VA) の増加が認められたが,典型的なAVNRTではない.
- AVブロックは主にATおよびIST患者で観察されました.
- AVRT,PJRT,ATではAVNRTと比較して心房細動の発生率が高かった.
- IST患者は,重要な活性化シーケンス変化なしに,心房循環の長さが増加したことを示した.
結論:
- アデノシンのEP反応は,ATの位置や特定のSVTメカニズムを正確に特定する価値は限られている.
- AVブロックと抑制前の心房循環の長さの短縮は,ATを示唆する.
- アドノシン後の心房細動は,AVRT,PJRT,またはATではより頻繁です.
- IST患者では,アデノシン投与後の安定した心房活性化とともに,周期が長くなることが示されています.
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