http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 주제어 : Paroxysmal supraventricular tachycardia (PSVT) (검색결과 3 건)
- 무료
- 기관 내 무료
- 유료
-
응급센터로 내원한 발작성심실상성빈맥 환자에 대한 아데노신의 투여효과
김홍용,김경환,윤영철,이경호,김원율,김병옥 대한응급의학회 1998 대한응급의학회지 Vol.9 No.2
Background: Adenosine has gained wide popularity in the emergency medical service system(EMS) since its approval for use in the treatment of paroxysmal supraventricular tachycardia(PSVT). But, few study about its efficacy and safety have been reported in this country. Therefore we had studied the efficacy of adenosine in the patients with PSVT in the emergency department(ED). Method: A prospective outcome study was performed from July, 1996 to June, 1997 at the Sanggye Paik Hospital, Inje University. PSVT was diagnosised based on emergency physician's interpretation of the 12 channel ECG. Patient's age, sex, symptoms, systolic blood pressure, heart rate, elapse time to sinus rhythm and side effects were recorded. Results: Twenty seven cases received adenosine for diagnosed PSVT in the ED for 1 year. The cases were 6 man and 21 women. The mean age was 53.4 year old. Three cases were considered unstable PSVT. In twenty six cases(96.3%) were converted to normal sinus rhythm after adenosine therapy. None of the patients who converted to sinus rhythm had recurrent PSVT or required additional mediation. Various adverse effects of adenosine were noted in all patients but were transient and clinically insignificant. Conclusion: Intravenous adenosine is an effective, safe and urgent treatment in terminating PSVT and no significant side effects were happened in emergency department.
-
발작성 심실상성빈맥의 심전기 생리학적 기전에 대한 임상적 연구
류제영(Jay Young Rhew),배열(Youl Bae),김준우(Jun Yoo Kim),김성희(Sung Hee Kim),김주한(Ju Han Kim),김광채(Gwang Chae Gill),박주형(Joo Hyung Park),정명호(Myung Ho Jeong),조정관(Jeong Gwan Cho),박종춘(Jong Chun Park),강정채(Jung Chaee 대한내과학회 1997 대한내과학회지 Vol.52 No.2
Objectives: Accurate diagnosis of the mechanism and origin site of paroxysmal supraventricular tachycardia(PSVT) can be made using electrophysiologic study(EPS). Recently, radiofrequency catheter ablation technique has been introduced and widely used for the definitive treatment of various forms of PSVT, thereby precise determination of the mechanism of PSVT can be possible. It has been known that atrioventricular reentry tachycardia (AVRT) using concealed bypass tract is more frequent than atrioventricular nodal reentry tachycardia (AVNRT) in Korea. But it is not certain that those studies represent actual distribution of PSVT in Korea. This study was designed to determine the mechanism and clinical characteristics of PSVT in Korea. Methods: We investigated 136patients in whom electrophysiolosic study was performed from October 1992 through October 1994 at the Chonnam National University Hospital, the only tertiary referral center of the Kwangju-Chonnam area of Korea. Results: 1) The electrophysiologic mechanism of PSVT was AVNRT in 44patients(32.4%), WPW syndrome in 46(33.8%), AVRT using concealed bypass tract in 40(29.4%), sinoatrial nodal reentry tachycardia (SANRT) in 4(2.9%), and automatic atrial tachycardia(AAT) in 2(1.5%), ensuing that AVNRT is most common mechanism of PSVT with no preexcitation during sinus rhythm. 2) Male is more frequent than female in AVNRT, WPW syndrome, and AVRT, which was most prominent in WPW syndrome. 3) The first episode of symptom occured at the age of 34.9±17.3 years in AVNRT, 25.5±13.3 years in WPW and 26.3±15.0 years in AVRT(p<0.05). There was no significant difference in the duration of symptom. The tachycardia rate in WPW syndrome was 183.6±23.9 per minute and AVRT was 186.7±38.0 per minute, which were faster than that of AVNRT(161.7±28.6/min)(p<0.05). 4) There was no significant difference in the presenting symptoms and in the provocation factors between AVNRT and AVRT. Conclusion: AVNIlT is most common mechanism of PSVT with no preexcitation during sinus rhythm, developed at older age than WPW syndorme and AVRT, and had lower tachycardia rate than WPW syndrome and AVRT.
-
발작성 상실성 빈맥 환자의 응급실 내 치료 결과 및 재발 인자에 관한 분석
전병조,문정미,위준선,정경운,김현창,정승태,허탁,민용일 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4
Purpose: The purpose of this research was to evaluate the factors predicting recurrence and the characteristics of patients who recurred after the treatment of spontaneous paroxysmal supraventricular tachycardia (PSVT) with adenosine. Methods: From January 1999 to December 2001, 62 patients with PSVT were enrolled in this study. The conversion group included patients who had had a therapeutic response, which was defined as the occurrence of a change in the sinus rhythm after adenosine administration. The recurred group consisted of all patients who had not had a therapeutic response. Clinical features, the results of treatment, ECG findings, and the hemodynamic statuses were analyzed. Results: The treatments were vagal maneuver (5 pts, 7.5%), adenosine 6 ㎎ (37 pts, 55.2%), adenosine 12 ㎎ (14 pts, 20.9%), verapamil 5 ㎎ (9 pts, 13.4%), and cardioversion (2 pts, 3.0%). Twenty-five of the 62 patients failed to have a therapeutic response, yielding a recurrence rate of 40.3%. Atrioventricular reentrant tachycardia (AVRT) was more prevalent in the recurred group. The most common symptom at presentation was chest pain. The recurred group had increased heart rate, and increased blood pressure. When patients were monitered after adenosine, unifocal premature ventricular complex was the most common rhythm encountered in the conversion group, but atrial fibrillation, and multifocal premature ventricular complex was the most common rhythm encountered. Conclusion: Age, heart rate, difference in systolic blood pressure from presentation to discharge, previous history of heart disease, and rhythms encountered after adenosine administration ere factors predicting recurrence.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
