Current practices and knowledge of adenosine administration for paroxysmal supraventricular tachycardia: a multi-province survey in Chinese emergency departments
Rattachement africain : cn. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia in emergency departments, with adenosine recommended as the first-line therapy in international guidelines. However, its adoption remains limited in China due to accessibility challenges, cost concerns, and entrenched reliance on traditional antiarrhythmics. AIM: This study aimed to assess the current utilization of adenosine for PSVT in Chinese emergency departments, identify barriers to guideline adherence, and evaluate physicians' knowledge of adenosine administration. METHODS: A cross-sectional survey was conducted among 988 emergency physicians across 10 Chinese provinces from July 1 to July 31, 2024. The questionnaire, distributed via WeChat, collected demographic data, treatment preferences, and knowledge of adenosine's contraindications and side effects. Statistical analysis was performed using GraphPad Prism 9.5.0.730, with chi-square tests for group comparisons. RESULTS: 34.6% of physicians reported adenosine use, contrasting with higher utilization of amiodarone (63.77%) and propafenone (55.77%). Limited accessibility was evident: 53.74% of hospitals stocked adenosine, and only 55.18% of emergency departments maintained consistent supplies. While 58.57% of respondents correctly identified the 6 mg IV bolus dose, knowledge gaps persisted for contraindications and side effects. Attending physicians demonstrated lower protocol adherence than residents and chiefs (P < 0.01). CONCLUSIONS: Emergency physicians, especially those in charge, have a limited understanding of SVT and the appropriate use of adenosine, necessitating further training for this demographic.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Current practices and knowledge of adenosine administration for paroxysmal supraventricular tachycardia: a multi-province survey in Chinese emergency departments
- Date Crossref
- 15/07/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Wuhan University Hubei Clinical Research Center for Emergency and Resuscitation pays non établi dans la noticeUniversité ou école supérieure
-
Zhongnan Hospital of Wuhan University pays non établi dans la noticeÉtablissement de santé
-
First Affiliated Hospital of GuangXi Medical University pays non établi dans la noticeÉtablissement de santé
-
Sun Yat-sen University Guangxi Hospital Division of The First Affiliated Hospital pays non établi dans la noticeÉtablissement de santé
-
Wenzhou Medical University pays non établi dans la noticeUniversité ou école supérieure
-
Zhejiang Taizhou Hospital pays non établi dans la noticeÉtablissement de santé
-
Hubei University of Science and Technology pays non établi dans la noticeUniversité ou école supérieure
-
Taizhou Hospital of Zhejiang Province Emergency Medicine Department pays non établi dans la noticeÉtablissement de santé
-
Xianning Medical College pays non établi dans la noticeUniversité ou école supérieure
Hubei Clinical Research Center for Emergency and Resuscitation — Wuhan University, Zhongnan Hospital of Wuhan University et First Affiliated Hospital of GuangXi Medical University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.