Atrial fibrillation induced by adenosine triphosphate

Usefulness of the Adenosine Triphosphate with a Sufficient Observation Period for Detecting Reconduction after Pulmonary Vein Isolation

“…ATP sometimes induces AF, as previously reported 16 . In the present study, AF was induced in three patients after PVI with the injection of ATP.…”

Drug-induced atrial fibrillation

“…Adenosine can induce AF by the shortening of atrial action potential duration while it is used for terminating atrioventricular re-entry tachycardia. Most patients convert to SR within a few minutes (21)(22)(23), but also a case has been documented that needed electrical cardioversion (24). Case reports and experiments suggest that the calcium-channel blockers verapamil (25)(26)(27) and diltiazem (28) may aggravate or induce AF in susceptible patients.…”

Proarrhythmic effects of adenosine: a review of the literature

“…Atrial arrhythmias therefore can themselves be induced by adenosine, including atrial tachycardias and atrial flutter. 34 In fact, the induction of atrial fibrillation by adenosine is now well recognised, [35][36][37][38] and in some more cases has been associated with ventricular preexcitation and haemodynamic collapse. 25 39 40 Adenosine is effective in terminating AV nodal re-entry tachycardias, but these have also been reported as having been induced by adenosine 41 ; indeed Curtis et al found that low dose adenosine could induce AV nodal re-entrant tachycardias in 9 of 16 patients who were known to experience this tachycardia.…”