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dc.contributor.authorCelikmen, Feridun
dc.contributor.authorAçıksarı, Kurtuluş
dc.contributor.authorOkutan, Nursel
dc.contributor.authorYazicioglu, Mustafa
dc.contributor.authorAvyaci, Baris Murat
dc.contributor.authorSimsek, Cem
dc.contributor.authorOzasir, Derya
dc.contributor.authorGiray, Tufan Akin
dc.contributor.authorAyan, Cem
dc.contributor.authorCaglar, Ilker Murat
dc.contributor.authorOzucelik, Dogac Niyazi
dc.contributor.authorOkuturlar, Yildiz
dc.contributor.authorDogan, Halil
dc.contributor.authorSarikaya, Sezgin
dc.date.accessioned2021-03-03T17:17:09Z
dc.date.available2021-03-03T17:17:09Z
dc.date.issued2015
dc.identifier.citationDogan H., Ozucelik D. N. , Açıksarı K., Caglar I. M. , Okutan N., Yazicioglu M., Avyaci B. M. , Simsek C., Ozasir D., Giray T. A. , et al., "To decide medical therapy according to ECG criteria in patients with supraventricular tachycardia in emergency department: adenosine or diltiazem", INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, cilt.8, sa.6, ss.9692-9699, 2015
dc.identifier.issn1940-5901
dc.identifier.othervv_1032021
dc.identifier.otherav_48f5fc57-c657-48b5-8849-72a7728c9edf
dc.identifier.urihttp://hdl.handle.net/20.500.12627/52504
dc.description.abstractThe aim of this study is to investigate the effect of ECG criteria which are used for the distinction between AVNRT and AVRT for the choice of treatment in patients with Supraventricular Tachycardia (SVT). The 77 patients with narrow QRS complex SVT which was treated with Adenosine or Diltiazem in the Emergency Department were evaluated retrospectively. All 12-lead ECG during tachycardia were blindly reviewed according to ECG criteria (Pseudo-r in V1, Pseudo-S-wave in the inferior leads, Visible P-wave, aVL notch) by a cardiologist and an emergency physician. In this study, while 59.6% of the patients returned to normal sinus rhythm (NSR) after the first dose 6 mg, 64.91% of them after the first dose 12 mg and 71.92% of them after the second dose of 12 mg adenosine, 95% of the patients returned to NSR after the 0.25 mg/kg diltiazem. The most visible ECG findings were visible P waves and the least visible ECG findings were Pseudo-S waves in the inferior leads. It was statistically significant between converted by adenosine to NSR and converted by diltiazem to NSR to the presence of visible P-wave and the aVL lead notch in their ECG findings. Conclusion: The rate of return to NSR through diltiazem was found higher than that of adenosine in narrow complex SVT patients. Also, diltiazem may be the first medication to be preferred in the presence of retrograt P wave and aVL notch in the ECG of the patients with narrow QRS complex stable SVT.
dc.language.isoeng
dc.subjectTıbbi Ekoloji ve Hidroklimatoloji
dc.subjectDahili Tıp Bilimleri
dc.subjectSağlık Bilimleri
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectTIP, ARAŞTIRMA VE DENEYSEL
dc.titleTo decide medical therapy according to ECG criteria in patients with supraventricular tachycardia in emergency department: adenosine or diltiazem
dc.typeMakale
dc.relation.journalINTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
dc.contributor.departmentBakirkoy Dr. Sadi Konuk Research & Training Hospital , ,
dc.identifier.volume8
dc.identifier.issue6
dc.identifier.startpage9692
dc.identifier.endpage9699
dc.contributor.firstauthorID220152


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