Open AccessAdenosine—A drug with myriad utility in the diagnosis and treatment of arrhythmias
Author(s) -
Gupta Anunay,
Lokhandwala Yash,
Rai Nitish,
Malviya Amit
Publication year - 2021
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12453
Subject(s) - medicine , adenosine , supraventricular tachycardia , drug , intensive care medicine , dosing , tachycardia , pharmacology , anesthesia
Adenosine has been used in the emergency treatment of arrhythmia for more than nine decades. However, cardiologists are often unfamiliar about its basic mechanism and various diagnostic and therapeutic uses, considering it mainly as a therapeutic drug for supraventricular tachycardia. This article discusses the role of adenosine relevant to emergency physicians, cardiologists, and electrophysiologists. Understanding of the mechanisms of adenosine and its electrophysiological effects is discussed first, followed by dosing, side effects, diagnostic, and therapeutic uses. Finally, the role of adenosine in the electrophysiology laboratory is discussed.