| 维拉帕米与ATP终止室上性心动过速的临床电生理对比观察 |
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| 引用本文： | 兰燕平,杨鼎颐,崔长琮.维拉帕米与ATP终止室上性心动过速的临床电生理对比观察[J].西安交通大学学报(医学版),1996(3). |
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| 作者姓名： | 兰燕平 杨鼎颐 崔长琮 |
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| 作者单位： | 西安第一临床医学院心内科 |
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| 摘 要： | 用维拉帕米和ＡＴＰ终止２４例室上性心动过速，比较两药的有效性、电生理效应和副作用。结果显示：虽然两药主要作用于房室结，但两药复律方式、电生理效应有差异；终止室上性心动过速两药疗效相似（Ｐ＞０．０５），ＡＴＰ复律快（Ｐ＜０．０５）而维拉帕米复律过程平稳且复律后心律失常发生率低（Ｐ＜０．０５）。
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| 关 键 词： | 维拉帕米 三磷酸腺苷 室上性心动过速 |
COMPARATIVE STUDY OF CLINICAL AND ELECTROPHYSIOLOGIC EFFECTS OF ATP AND VERAPAMIL ON THE TERMINATION OF SVT |
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| Lan Yanping, Yang Dingyi, Cui Changzong.COMPARATIVE STUDY OF CLINICAL AND ELECTROPHYSIOLOGIC EFFECTS OF ATP AND VERAPAMIL ON THE TERMINATION OF SVT[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1996(3). |
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| Authors: | Lan Yanping Yang Dingyi Cui Changzong |
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| Institution: | Lan Yanping; Yang Dingyi; Cui Changzong |
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| Abstract: | The efficacy, electrophysiologic effects, and side effects of ATP and verapamil in theshort-term management of SVT were compared in 24 patients. The results showed that there were many differences in electrophysiologic mechanism between ATP and verapamil in the shoat-term management of SVT although the termination of SVT by ATP and verapamil was related to a block in the atrioventricular (AV) node in most of the patients. The overall efficacy of ATP was not significantly greater than that of verapamtl in the termination of SVT (P>0.05); however, ATP terminated SVT more quickly than verapamil (P<0.05). The total incidence of transient AV nede block and various cardiac supraventricular and ventricular arrhythmias was higher after termination of SVT by ATP than verapamil (P<0.05). |
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| Keywords: | verapamil ATP supraventricular tachycardia (SVT) |
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