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What tachycardic arrythmia is Adenosine not used for?

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Final answer:

Adenosine is not used to treat ventricular tachycardia, which originates from the ventricles of the heart, differing from supraventricular tachycardias where adenosine is often effective. Diagnosis and treatment of tachycardia involve medical investigations such as ECG and can include various therapies ranging from medication to surgery.

Step-by-step explanation:

Tachycardia and Adenosine

Adenosine is a medication commonly used to treat certain types of supraventricular tachycardias (SVTs), which are a group of arrhythmias that cause the heart rate to increase above the normal resting rate. However, adenosine is not used to treat ventricular tachycardia, which originates from the ventricles (the heart's lower chambers). This is because adenosine is effective in SVTs where the arrhythmia involves the atria or the AV node, cases in which adenosine can help to restore a normal heart rhythm. In contrast, ventricular tachycardia may not respond to adenosine and could even be aggravated by its administration.

Treatment for tachycardia depends on the type and severity of the arrhythmia. Diagnosing the specific type of tachycardia involves the use of an electrocardiogram (ECG) and sometimes a Holter monitor, among other diagnostic tools. The approach to treatment may include medications, medical procedures like the insertion of a pacemaker, or even surgery in some cases.

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