Evidence map›Paper›PMID 35340059›Full record

Trial reportClinical cardiology2022

Comparison between the double-syringe and the single-syringe techniques of adenosine administration for terminating supraventricular tachycardia: A pilot, randomized controlled trial.

Praew Kotruchin, Itchaya-On Chaiyakhan, Phimonphorn Kamonsri, Wittawin Chantapoh, Nattapat Serewiwattana, Nayawadee Kaweenattayanon, Nattacha Narangsiya, Piyangkul Lorcharassriwong, Kittithat Korsakul, Punnapat Thawepornpuriphong and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Management of acute supraventricular tachycardia in children.Canadian family physician Medecin de famille canadien · 2023
    Review
  7. Review
  8. Adenosine Administration in Supraventricular Tachycardia: Single- or Double-Syringe Technique?American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 2 countries.

Praew KotruchinDepartment of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Muang, Khon Kaen, Thailand.ORCID https://orcid.org/0000-0003-3519-3415
Itchaya-On ChaiyakhanDepartment of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Muang, Khon Kaen, Thailand.
Phimonphorn KamonsriEmergency Medicine Unit, Srisaket Hospital, Muang, Srisaket, Thailand.
Wittawin ChantapohKukan Hospital, Srisaket, Thailand.
Nattapat SerewiwattanaEmergency Medicine Unit, Queen Sirikit Heart Center of the Northeast, Khon Kaen, Thailand.
Nayawadee KaweenattayanonEmergency Medicine Unit, Khon Kaen Hospital, Muang, Khon Kaen, Thailand.
Nattacha NarangsiyaEmergency Medicine Unit, Srisaket Hospital, Muang, Srisaket, Thailand.
Piyangkul LorcharassriwongYangchumnoi Hospital, Srisaket, Thailand.
Kittithat KorsakulKalasin Hospital, Kalasin, Thailand.
Punnapat ThawepornpuriphongJun Hospital, Payao, Thailand.
Tanachoke TirapuritornWisetchaicharn Hospital, Angthong, Thailand.
Thapanawong MitsungnernDepartment of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Muang, Khon Kaen, Thailand.ORCID https://orcid.org/0000-0002-5046-5151
Khon Kaen University · THSisaket Rajabhat University · THChonburi Hospital · THKalasin University · THPayap University · THPriest Hospital · THSripatum University · TH

Funding

Khon Kaen UniversityThis study received an Invitation Research Grant from the Khon Kaen University Faculty of Medicine, Khon Kaen, Thailand IN64328
6 · The paper itself

Abstract

backgroundAdenosine has been recommended as a first-line treatment for stable supraventricular tachycardia (SVT). Standard guidelines recommend 6-mg of adenosine administered intravenously (IV) with an immediate 20-ml IV bolus of normal saline solution (NSS; double syringe technique [DST]). However, a newly proposed single-syringe technique (SST), in which adenosine is diluted with an up to 20 ml IV bolus of NSS, was found to be beneficial. HYPOTHESIS: We hypothesized that the SST was noninferior to the DST for terminating stable SVT.

methodsA pilot multicenter, single-blind, randomized controlled study was conducted at nine hospitals in north and northeast Thailand. Thirty patients who were diagnosed with stable SVT were randomized into two groups of 15, with one receiving adenosine via the DST and the other via the SST. We examined SVT termination, the average successful dose, and the complication rate of each group. Analyses were based on the intention-to-treat principle.

resultThe termination rate was 93.3% in the DST and 100% in the SST group (p = 1.000), and the success rate of the first 6-mg dose of adenosine was 73.3% and 80%, respectively (p = 1.000). The total administered dose was 8.6 ± 5.1 mg in the DST group and 7.6 ± 4.5 mg in the SST group (p = .608). No complications were found in either group.

conclusionsThe SST was non-inferior to the DST for termination of SVT. However, a further definitive study with a larger sample size is required.

Indexed as

Tachycardia, ParoxysmalTachycardia, SupraventricularAdenosineAnti-Arrhythmia AgentsHumansSingle-Blind MethodSyringesAdenosineAnti-Arrhythmia Agentsadenosineefficacy and side effectssingle-syringe techniquesupraventricular tachycardia

Identifiers

PMID35340059
PMCPMC9045080
OpenAlexW4221036269

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.