Use of Adenosine Test for the Exclusion of Preexcitation Syndrome in Asymptomatic Individuals

作者：Grossman Alon^*; Wand Ori; Matezki Shlomi; Kerner Arthur; Assa Amit; Glikson Michael

来源：Annals of Noninvasive Electrocardiology, 2011, 16(2): 180-183.

DOI：10.1111/j.1542-474X.2011.00427.x

• adenosine
• military recruits
• preexcitation
• WPW

Methods: We retrospectively reviewed all Israeli air force (IAF) academy candidates who were referred to adenosine test based on a cardiologist's suspicion of PES. The results of the adenosine test were recorded, including the adenosine dose required to achieve complete AV block. The medical records of the subjects were reviewed to identify any adverse cardiovascular outcome.
Results: Fifty-nine subjects who underwent adenosine test were followed for 35.42 +/- 24 months. Complete AV block was achieved in all subjects with an average adenosine dose of 22.51 +/- 12.67 mg. None of the subjects had evidence of an inapparent pathway. All subjects completed military service without adverse outcomes.
Conclusions: The vast majority of young patients with a short PR interval do not have evidence of an accessory pathway and have a favorable prognosis. Thus, the yield of adenosine test in young combat recruits is questionable. Yet, if there is no evidence of an accessory pathway while achieving complete AV block on adenosine test, the chance of an accessory pathway being present is probably extremely low.
Ann Noninvasive Electrocardiol 2011;16(2):180-183.

• 出版日期2011-4