Adverse Effects and Limitations of Adenosine in Treatment of Narrow QRS Complex Tachycardia (NCT) and Broad Complex Tachycardia (BCT): A Systematic Review
Notice bibliographique
Résumé
There has been always a need to unlock the key to a different kind of tachycardia, tachyarrhythmias, in short, Narrow complex tachycardias {which includes Atrioventricular nodal reentrant tachycardia (AVNRT), Atrioventricular reciprocating tachycardia (AVRT), Nonparoxysmal junctional tachycardia (NPJT), Orthodromic Reciprocating Tachycardia (ORT), Permanent junctional reciprocating tachycardia (PJRT)} which also lead to broad complex tachycardias, it’s appropriate management at that juncture with the consideration of all the adverse effects and limitations, with Adenosine and verapamil, while taking into consideration the contraindications of both the adenosine, the calcium channel blockers (verapamil/diltiazem) used for the chemical conversion of Supra Ventricular tachycardia (SVT) even when the accessory pathways are involved. The use of the drugs as a diagnostic tool be it the presence of latent pre-excitation, fasciculo-ventricular pathway, and unmasking the dual atrioventricular (AV) nodal physiology along with the treatment tool has also been discussed. On February 10, 2023, many databases, including PubMed, Google Scholar, and the Cochrane Library, were used to search the chosen studies. The chosen papers for this review were released up until 2014. The PRISMA flow diagram included a description of the systematic search. 6,542 articles were initially identified for the chosen databases. After the manual selection of papers and quality evaluation of the essential articles, 10 articles were ultimately picked for the thesis' foundation. Randomized Control Trials (RCTs) are evaluated for quality using the Cochrane bias assessment tool, the Prisma checklist for systematic reviews, the JB check tool for case reports, and the Newcastle Ottawa tool for non-randomized clinical trials. There are three aspects covered, which are the methods of administration, complications post-adenosine administration, and effectiveness & adverse effects of adenosine & Calcium Channel Blockers in Supra Ventricular Tachycardia. Comparison of the success rate, adverse effects, and conversion rate and its interpretation through the selected articles. Success rates for Adenosine and Verapamil are compared. Comparison of adenosine injection techniques' rates of success. Comparison of adenosine administration difficulties experienced by participants in various studies. Comparison of the issues faced by participants in several studies who took Verapamil through graphical representation. Comparatively, Adenosine has been found as the superior drug, irrespective of increased side effects due to its short half-life (approx. nine seconds) and fast conversing action, leading to an increased success rate. It can be concluded that Shortness of breath (SOB) and flushing have both significantly impacted complications. It is followed in descending order by nausea, vomiting, chest pain, bradycardia, and the remaining problems. On the other hand, side effects from taking verapamil show that hypotension is the most commonly impacted, followed by shortness of breath and other side effects.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,032 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,001 |
| Méta-épidémiologie (sens large) | 0,009 | 0,011 |
| Bibliométrie | 0,009 | 0,009 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,006 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».