Adenosine-tri-phosphate treatment for supraventricular tachycardia in infants

Eur J Pediatr. 1994 Nov;153(11):793-6. doi: 10.1007/BF01972885.

Abstract

Adenosine is an endogenous nucleoside acting on coronary perfusion and myocardial conduction. Although the anti-arrhythmic effects of adenosine have been known for decades, interest in the use of adenosine or adenosine-triphosphate (ATP) (a precursor of adenosine) in termination of supraventricular tachycardia (SVT) has been renewed. We studied the use of striadyne (ATP and a mixture of other nucleosides including adenosine) in 22 infants younger than 6 months in order to evaluate efficiency and safety of the drug in this particular age group. Striadyne stopped SVT in 17 cases and was diagnostic in another 4 cases. Ten out of 17 successfully converted infants showed one or more reinitiations of SVT, which were easily controlled. The results support the efficiency of ATP for the termination of re-entry types of tachycardia, as well as its diagnostic value and its lack of serious side-effects.

Publication types

  • Clinical Trial
  • Duplicate Publication

MeSH terms

  • Adenosine Triphosphate / administration & dosage
  • Adenosine Triphosphate / therapeutic use*
  • Anti-Arrhythmia Agents / administration & dosage
  • Anti-Arrhythmia Agents / therapeutic use*
  • Child, Preschool
  • Electrocardiography
  • Humans
  • Infant
  • Infant, Newborn
  • Injections, Intravenous
  • Tachycardia, Supraventricular / diagnosis
  • Tachycardia, Supraventricular / drug therapy*
  • Treatment Outcome

Substances

  • Anti-Arrhythmia Agents
  • Adenosine Triphosphate