Delayed adenosine therapy is associated with the refractory supraventricular tachycardia in children
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Jung Heon | - |
dc.contributor.author | Jung, Jae Yun | - |
dc.contributor.author | Lee, Se Uk | - |
dc.contributor.author | Park, Joong Wan | - |
dc.contributor.author | Choi, Jea Yeon | - |
dc.date.available | 2020-03-03T12:42:45Z | - |
dc.date.created | 2020-02-24 | - |
dc.date.issued | 2020-11 | - |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/19453 | - |
dc.description.abstract | Objectives: To study the association of time intervals on adenosine therapy with the occurrence of refractory supraventricular tachycardia (SVT) in children. Methods: We reviewed 334 episodes of presumed SVT requiring adenosine in children (<18 years) who visited 4 academic hospital emergency departments (EDs) from July 2013 through June 2017. Refractory SVT was defined as an SVT episode persisting after 2 doses of adenosine. Clinical and electrocardiographic findings, and symptom-to-adenosine (symptom-to-ED plus ED-to-adenosine) time of refractory and responsive SVT episodes were compared. Multivariable logistic regression was performed to identify factors associated with the occurrence of refractory SVT. Results: Of 211 SVT episodes, 42 episodes of refractory SVT (19.9%) were noted (overall sinus conversion rate, 79.6%). The refractory episodes were associated with a higher frequency of known structural heart diseases (9.5% vs. 1.8%; P = 0.030) and a longer median ED-to-adenosine time (15.5 vs. 11.0 min; P = 0.018). The association of the ED-to-adenosine time with refractory SVT remained significant after adjustment (for increment of 1 min; aOR, 1.02; 95% CI, 1.007–1.04). Conclusions: Delayed adenosine therapy is associated with the occurrence of refractory SVT in children, supporting the need for prompt adenosine therapy. © 2019 Elsevier Inc. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | W.B. Saunders | - |
dc.relation.isPartOf | American Journal of Emergency Medicine | - |
dc.title | Delayed adenosine therapy is associated with the refractory supraventricular tachycardia in children | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000599512200008 | - |
dc.identifier.doi | 10.1016/j.ajem.2019.10.018 | - |
dc.identifier.bibliographicCitation | American Journal of Emergency Medicine, v.38, no.11, pp.2291 - 2296 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85075878098 | - |
dc.citation.endPage | 2296 | - |
dc.citation.startPage | 2291 | - |
dc.citation.title | American Journal of Emergency Medicine | - |
dc.citation.volume | 38 | - |
dc.citation.number | 11 | - |
dc.contributor.affiliatedAuthor | Choi, Jea Yeon | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Adenosine | - |
dc.subject.keywordAuthor | Child | - |
dc.subject.keywordAuthor | Emergency Medicine | - |
dc.subject.keywordAuthor | Risk Factors | - |
dc.subject.keywordAuthor | Supraventricular | - |
dc.subject.keywordAuthor | Tachycardia | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.