What are adenosine's side effects in heart patients?
Patient's Query
Hello doctor,
I am a 54-year-old female with a history of smoking and alcohol consumption daily for 20 years. I have left smoking for the last seven years and alcohol intake for the past two years. I have been scheduled for a cardiac MRI stress test in the coming day, and I have heard that Adenosine injection can cause heart failure in every one in 1000 patients. What if I have an underlying cardiac disease, and the injection might cause a problem? I have undergone four CT scans due to COVID-19, and more radiation from scintigraphy might not be appropriate. Is there any alternative test for this? Is Adenosine dangerous for me? Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
Why is a stress CMR (cardiovascular magnetic resonance) test advised? Did you have chest pain? Stress CMR is done to assess cardiac muscle viability and function and to see previous heart attacks.
Adenosine's side effect is that it can cause shortness of breath in those with asthma. Another side effect is that it slows the heart rate. However, adenosine is infused in a controlled setting, and after stopping the infusion, the heart rate returns to normal within a minute or two. So, there is very minimal risk associated with it.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
My T wave on ECG was flattened. It also has extrasystoles. Kindly help.
Thank you.
Hi,
Welcome back to icliniq.com.
I understand your concern. T wave(attachment removed to protect the patient’s identity) is the most non-specific wave for ischemia assessment. T waves can be flattened in blood with low potassium levels. It may also be a normal variant. ECG (electrocardiogram) is always interpreted in the context of clinical history. Regarding your query about Adenosine, it can precipitate asthma in asthmatics. It can slow down the heart rate for a short time. In the case of ischemic heart disease, it can cause chest pain. The effect can be reversed with an Aminophylline injection, which is always available with Adenosine. So there is nothing to worry about.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Does sleeping late cause heart problems?
I am a 54-year-old man with diabetes and angina, Can I have sex or masturbate?
Am I having a heart problem or PTSD?
What could be the cause for strong and fast heartbeats with difficulty in breathing?
As I am allergic to Gadolinium, can an MRI without contrast help diagnose myocarditis?
My cough is persisting in spite of antibiotics. What do you suggest?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
