中国实用内科杂志2001，Vol.21Issue(5)：276-277,2.
三磷酸腺苷在射频消融术中的临床应用研究
The clinical application of adenosine triphosphate in radiofrequency ablation
李学斌 1郭继鸿 1张海澄 1许原 1陈冰1
作者信息
- 1. 北京大学人民医院 100044 论著与经验
- 折叠
摘要
Abstract
Objective The aim of this study is to investigate whetheradenosine triphosphate(ATP) has the optimal dose to identify accessory pathway for elevating the successful rate of radiofreqency ablation and declining the oblivious diagnostic incidence in multiple accessory pathway during application of radiofreqency ablation.Methods 37 patients without accessory pathway who had retrograde conduction in atrioventricular node and 45 patients with concealed accessory pathway were respectively given adenosine triphosphate in 0.2mg/kg，0.25mg/kg and 0.3mg/kg to assess the value of application of ATP in radiofrequency ablation through observing the effects of ATP on atrioventricular node and accessory pathway during pacing at right ventricle. Results ATP in dose of 0.25mg/kg had the sensitivity of 83.2%，the specificity of 97.78%，positive predictive value of 96.88%，negative predictive value of 88.00%，and accuracy of 91.46% for testing whether accessory pathway existed. Conclusions ATP in dose of 0.25mg/kg has an important significance to identify accessory pathway with retrograde conduction in atrioventricular node concurrently，it can not elevate the diagnostic value to increase the dose of ATP.关键词
三磷酸腺苷/射频消融术分类
医药卫生引用本文复制引用
李学斌,郭继鸿,张海澄,许原,陈冰..三磷酸腺苷在射频消融术中的临床应用研究[J].中国实用内科杂志,2001,21(5):276-277,2.
