Noninvasive Diagnosis of Dual AV Nodal Physiology in Patients With AV Nodal Reentrant Tachycardia by Adenosine Triphosphate Test
Atrioventricular nodal reentrant tachycardia (AVNRT) is a relatively common paroxysmal supraventricular tachycardia. This study investigated whether adenosine-5'-triphosphate (ATP) injection during sinus rhythm might be useful in the noninvasive diagnosis of dual AV nodal pathways. The study gr...
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| Veröffentlicht in: | Japanese Heart Journal 2003, Vol.44(5), pp.655-666 |
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| creator | Okumura, Yasuo Watanabe, Ichiro Oshikawa, Naohiro Masaki, Riko Okubo, Kimie Hashimoto, Kenichi Kofune, Tatsuya Yamada, Takeshi Wakita, Rie Takagi, Yasuhiro Saito, Satoshi Ozawa, Yukio Kanmatsuse, Katsuo |
| description | Atrioventricular nodal reentrant tachycardia (AVNRT) is a relatively common paroxysmal supraventricular tachycardia. This study investigated whether adenosine-5'-triphosphate (ATP) injection during sinus rhythm might be useful in the noninvasive diagnosis of dual AV nodal pathways. The study group consisted of 9 patients with slow/fast AVNRT and 11 control patients without antegrade dual AV nodal physiology (DAVNP). ATP (2.5 to 30 mg, in 2.5-mg increments) was injected during sinus rhythm until signs of DAVNP (≥ 50 msec increase or decrease in AH or PR interval in two consecutive beats) or ≥ second-degree AV block was observed. DAVNP was diagnosed by ATP test in all 9 patients with slow/fast AVNRT. DAVNP was observed by ATP test in 3 of the 11 control patients. Thus, the test had a sensitivity of 100% and specificity of 73%. ATP test given during sinus rhythm is useful for identifying patients with dual AV nodal pathways who are prone to AVNRT. |
| doi_str_mv | 10.1536/jhj.44.655 |
| format | Article |
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This study investigated whether adenosine-5'-triphosphate (ATP) injection during sinus rhythm might be useful in the noninvasive diagnosis of dual AV nodal pathways. The study group consisted of 9 patients with slow/fast AVNRT and 11 control patients without antegrade dual AV nodal physiology (DAVNP). ATP (2.5 to 30 mg, in 2.5-mg increments) was injected during sinus rhythm until signs of DAVNP (≥ 50 msec increase or decrease in AH or PR interval in two consecutive beats) or ≥ second-degree AV block was observed. DAVNP was diagnosed by ATP test in all 9 patients with slow/fast AVNRT. DAVNP was observed by ATP test in 3 of the 11 control patients. Thus, the test had a sensitivity of 100% and specificity of 73%. ATP test given during sinus rhythm is useful for identifying patients with dual AV nodal pathways who are prone to AVNRT.</description><identifier>ISSN: 0021-4868</identifier><identifier>EISSN: 1348-673X</identifier><identifier>DOI: 10.1536/jhj.44.655</identifier><identifier>PMID: 14587647</identifier><identifier>CODEN: JHEJAR</identifier><language>eng</language><publisher>Tokyo: International Heart Journal Association</publisher><subject>Adenosine Triphosphate ; Adenosine-5'-triphosphate test ; Adult ; Aged ; Atrioventricular Node - physiopathology ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Dual atrioventricular nodal pathways ; Electrocardiography ; Female ; Heart ; Humans ; Injections ; Male ; Medical sciences ; Middle Aged ; Point-of-Care Systems ; Sensitivity and Specificity ; Supraventricular tachycardia ; Tachycardia, Atrioventricular Nodal Reentry - diagnosis ; Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><ispartof>Japanese Heart Journal, 2003, Vol.44(5), pp.655-666</ispartof><rights>2003 by the Japanese Heart Journal</rights><rights>2004 INIST-CNRS</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-9453e9e10105e505ab0450bdb752a39d4c81c30a16dfc534b0f2edabd1986e63</citedby><cites>FETCH-LOGICAL-c497t-9453e9e10105e505ab0450bdb752a39d4c81c30a16dfc534b0f2edabd1986e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1881,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15172848$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14587647$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okumura, Yasuo</creatorcontrib><creatorcontrib>Watanabe, Ichiro</creatorcontrib><creatorcontrib>Oshikawa, Naohiro</creatorcontrib><creatorcontrib>Masaki, Riko</creatorcontrib><creatorcontrib>Okubo, Kimie</creatorcontrib><creatorcontrib>Hashimoto, Kenichi</creatorcontrib><creatorcontrib>Kofune, Tatsuya</creatorcontrib><creatorcontrib>Yamada, Takeshi</creatorcontrib><creatorcontrib>Wakita, Rie</creatorcontrib><creatorcontrib>Takagi, Yasuhiro</creatorcontrib><creatorcontrib>Saito, Satoshi</creatorcontrib><creatorcontrib>Ozawa, Yukio</creatorcontrib><creatorcontrib>Kanmatsuse, Katsuo</creatorcontrib><title>Noninvasive Diagnosis of Dual AV Nodal Physiology in Patients With AV Nodal Reentrant Tachycardia by Adenosine Triphosphate Test</title><title>Japanese Heart Journal</title><addtitle>Jpn Heart J</addtitle><description>Atrioventricular nodal reentrant tachycardia (AVNRT) is a relatively common paroxysmal supraventricular tachycardia. This study investigated whether adenosine-5'-triphosphate (ATP) injection during sinus rhythm might be useful in the noninvasive diagnosis of dual AV nodal pathways. The study group consisted of 9 patients with slow/fast AVNRT and 11 control patients without antegrade dual AV nodal physiology (DAVNP). ATP (2.5 to 30 mg, in 2.5-mg increments) was injected during sinus rhythm until signs of DAVNP (≥ 50 msec increase or decrease in AH or PR interval in two consecutive beats) or ≥ second-degree AV block was observed. DAVNP was diagnosed by ATP test in all 9 patients with slow/fast AVNRT. DAVNP was observed by ATP test in 3 of the 11 control patients. Thus, the test had a sensitivity of 100% and specificity of 73%. ATP test given during sinus rhythm is useful for identifying patients with dual AV nodal pathways who are prone to AVNRT.</description><subject>Adenosine Triphosphate</subject><subject>Adenosine-5'-triphosphate test</subject><subject>Adult</subject><subject>Aged</subject><subject>Atrioventricular Node - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Dual atrioventricular nodal pathways</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Injections</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Point-of-Care Systems</subject><subject>Sensitivity and Specificity</subject><subject>Supraventricular tachycardia</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - diagnosis</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><issn>0021-4868</issn><issn>1348-673X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0MuO0zAUBmALgZgysOEBkDewQEqx40ucFapmuEmjYYQqYBed2CeNqzQudjpSdjw6HrVMN75--o_0E_KasyVXQn_Y9tullEut1BOy4EKaQlfi91OyYKzkhTTaXJAXKW0Z47o04jm54FKZSstqQf7ehtGP95D8PdJrD5sxJJ9o6Oj1AQa6-klvg8uHu35OPgxhM1M_0juYPI5Tor_81J_RD8yPEcaJrsH2s4XoPNB2piuHD7kj0nX0-z6kfQ9TvmCaXpJnHQwJX532S7L-_Gl99bW4-f7l29XqprCyrqailkpgjZxxplAxBS2TirWurVQJonbSGm4FA65dZ5WQLetKdNA6XhuNWlySd8fYfQx_Dnlus_PJ4jDAiOGQmooLwY2SGb4_QhtDShG7Zh_9DuLccNY81N3kuhspm1x3xm9OqYd2h-5MT_1m8PYEIFkYulyO9ensFK9KI012H49umybY4COAOHk74P-Z6rjk0Y8_tofY4Cj-AdsyoEI</recordid><startdate>20030901</startdate><enddate>20030901</enddate><creator>Okumura, Yasuo</creator><creator>Watanabe, Ichiro</creator><creator>Oshikawa, Naohiro</creator><creator>Masaki, Riko</creator><creator>Okubo, Kimie</creator><creator>Hashimoto, Kenichi</creator><creator>Kofune, Tatsuya</creator><creator>Yamada, Takeshi</creator><creator>Wakita, Rie</creator><creator>Takagi, Yasuhiro</creator><creator>Saito, Satoshi</creator><creator>Ozawa, Yukio</creator><creator>Kanmatsuse, Katsuo</creator><general>International Heart Journal Association</general><general>Japanese Heart Journal Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030901</creationdate><title>Noninvasive Diagnosis of Dual AV Nodal Physiology in Patients With AV Nodal Reentrant Tachycardia by Adenosine Triphosphate Test</title><author>Okumura, Yasuo ; Watanabe, Ichiro ; Oshikawa, Naohiro ; Masaki, Riko ; Okubo, Kimie ; Hashimoto, Kenichi ; Kofune, Tatsuya ; Yamada, Takeshi ; Wakita, Rie ; Takagi, Yasuhiro ; Saito, Satoshi ; Ozawa, Yukio ; Kanmatsuse, Katsuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-9453e9e10105e505ab0450bdb752a39d4c81c30a16dfc534b0f2edabd1986e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adenosine Triphosphate</topic><topic>Adenosine-5'-triphosphate test</topic><topic>Adult</topic><topic>Aged</topic><topic>Atrioventricular Node - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Dual atrioventricular nodal pathways</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Injections</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Point-of-Care Systems</topic><topic>Sensitivity and Specificity</topic><topic>Supraventricular tachycardia</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - diagnosis</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Okumura, Yasuo</creatorcontrib><creatorcontrib>Watanabe, Ichiro</creatorcontrib><creatorcontrib>Oshikawa, Naohiro</creatorcontrib><creatorcontrib>Masaki, Riko</creatorcontrib><creatorcontrib>Okubo, Kimie</creatorcontrib><creatorcontrib>Hashimoto, Kenichi</creatorcontrib><creatorcontrib>Kofune, Tatsuya</creatorcontrib><creatorcontrib>Yamada, Takeshi</creatorcontrib><creatorcontrib>Wakita, Rie</creatorcontrib><creatorcontrib>Takagi, Yasuhiro</creatorcontrib><creatorcontrib>Saito, Satoshi</creatorcontrib><creatorcontrib>Ozawa, Yukio</creatorcontrib><creatorcontrib>Kanmatsuse, Katsuo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okumura, Yasuo</au><au>Watanabe, Ichiro</au><au>Oshikawa, Naohiro</au><au>Masaki, Riko</au><au>Okubo, Kimie</au><au>Hashimoto, Kenichi</au><au>Kofune, Tatsuya</au><au>Yamada, Takeshi</au><au>Wakita, Rie</au><au>Takagi, Yasuhiro</au><au>Saito, Satoshi</au><au>Ozawa, Yukio</au><au>Kanmatsuse, Katsuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noninvasive Diagnosis of Dual AV Nodal Physiology in Patients With AV Nodal Reentrant Tachycardia by Adenosine Triphosphate Test</atitle><jtitle>Japanese Heart Journal</jtitle><addtitle>Jpn Heart J</addtitle><date>2003-09-01</date><risdate>2003</risdate><volume>44</volume><issue>5</issue><spage>655</spage><epage>666</epage><pages>655-666</pages><issn>0021-4868</issn><eissn>1348-673X</eissn><coden>JHEJAR</coden><abstract>Atrioventricular nodal reentrant tachycardia (AVNRT) is a relatively common paroxysmal supraventricular tachycardia. This study investigated whether adenosine-5'-triphosphate (ATP) injection during sinus rhythm might be useful in the noninvasive diagnosis of dual AV nodal pathways. The study group consisted of 9 patients with slow/fast AVNRT and 11 control patients without antegrade dual AV nodal physiology (DAVNP). ATP (2.5 to 30 mg, in 2.5-mg increments) was injected during sinus rhythm until signs of DAVNP (≥ 50 msec increase or decrease in AH or PR interval in two consecutive beats) or ≥ second-degree AV block was observed. DAVNP was diagnosed by ATP test in all 9 patients with slow/fast AVNRT. DAVNP was observed by ATP test in 3 of the 11 control patients. Thus, the test had a sensitivity of 100% and specificity of 73%. ATP test given during sinus rhythm is useful for identifying patients with dual AV nodal pathways who are prone to AVNRT.</abstract><cop>Tokyo</cop><pub>International Heart Journal Association</pub><pmid>14587647</pmid><doi>10.1536/jhj.44.655</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adenosine Triphosphate Adenosine-5'-triphosphate test Adult Aged Atrioventricular Node - physiopathology Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Dual atrioventricular nodal pathways Electrocardiography Female Heart Humans Injections Male Medical sciences Middle Aged Point-of-Care Systems Sensitivity and Specificity Supraventricular tachycardia Tachycardia, Atrioventricular Nodal Reentry - diagnosis Tachycardia, Atrioventricular Nodal Reentry - physiopathology |
| title | Noninvasive Diagnosis of Dual AV Nodal Physiology in Patients With AV Nodal Reentrant Tachycardia by Adenosine Triphosphate Test |
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