TY - JOUR
T1 - Utility of Adenosine Administration During Intraoperative Mapping in A Patient with the Wolff‐Parkinson‐White Syndrome
AU - ELLENBOGEN, KENNETH A.
AU - ROGERS, REGINA
AU - DAMIANO, RALPH
PY - 1991/6
Y1 - 1991/6
N2 - Adenosine is an endogenous nucleoside that is administered intravenously and has potent chronotropic and dromotropic effects. This drug is distinguished from verapamil by its very short half‐life. This makes it an ideal agent for use in the operating room where long lasting electrophysiological effects may not he desirable. A 61‐year‐old man with preexcited atrial fibrillation was referred for surgical ablation of his accessory pathway. Preexcitation was minimal or absent on arrival in the operating room. Intravenous adenosine was given causing AV nodal block, and resulted in marked preexcitation, thus allowing computerized mapping to localize the site of the accessory pathway. Adenosine may be a useful agent for rapid and precise localization of accessory pathivay(s) in a select group of patients with minimal preexcitation at the time of surgery. Its short half‐life allotvs additional mapping without sustained electrophysiological effects on the AV node, or accessory pathway.
AB - Adenosine is an endogenous nucleoside that is administered intravenously and has potent chronotropic and dromotropic effects. This drug is distinguished from verapamil by its very short half‐life. This makes it an ideal agent for use in the operating room where long lasting electrophysiological effects may not he desirable. A 61‐year‐old man with preexcited atrial fibrillation was referred for surgical ablation of his accessory pathway. Preexcitation was minimal or absent on arrival in the operating room. Intravenous adenosine was given causing AV nodal block, and resulted in marked preexcitation, thus allowing computerized mapping to localize the site of the accessory pathway. Adenosine may be a useful agent for rapid and precise localization of accessory pathivay(s) in a select group of patients with minimal preexcitation at the time of surgery. Its short half‐life allotvs additional mapping without sustained electrophysiological effects on the AV node, or accessory pathway.
KW - Wolff‐Parkinson‐White
KW - adenosine
KW - intraoperative mapping
UR - http://www.scopus.com/inward/record.url?scp=0025766163&partnerID=8YFLogxK
U2 - 10.1111/j.1540-8159.1991.tb04146.x
DO - 10.1111/j.1540-8159.1991.tb04146.x
M3 - Article
C2 - 1715074
AN - SCOPUS:0025766163
SN - 0147-8389
VL - 14
SP - 985
EP - 988
JO - Pacing and Clinical Electrophysiology
JF - Pacing and Clinical Electrophysiology
IS - 6
ER -