Which drug works best for racing heart after simple maneuver fails?
NCT ID NCT07456423
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at 140 adults who came to the emergency room with a fast heart rhythm called AVNRT. After a simple breathing and pushing technique (Valsalva maneuver) didn't work, patients received either adenosine or diltiazem through an IV. The goal was to see which drug more effectively and safely restored a normal heart rhythm.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- adenosine and diltiazem
- What this could lead to
- If successful, this could help doctors choose the best drug to quickly and safely restore normal heart rhythm in emergency room patients with a specific type of fast heartbeat.
- What could go wrong
- This is a completed Phase 4 trial with 140 participants, so results are available but may not apply to all patients. Both drugs have known side effects like flushing, chest discomfort, or low blood pressure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
140 people
The number who actually took part.
- Started
-
Jul 2024
- Finished
-
Aug 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Presentation to the emergency department with hemodynamically stable, regular narrow-complex SVT consistent with AVNRT * a regular narrow-complex tachycardia with QRS duration \<120 ms * no discernible P waves on the presenting rhythm strip or 12-lead ECG * a ventricular rate of 160-220 beats/min Exclusion Criteria: * Contraindications to adenosine or diltiazem (known hypersensitivity to adenosine or diltiazem, prior heart transplantation, or concomitant dipyridamole/carbamazepine therapy) * Clinical evidence of impaired cerebral perfusion (e.g., altered mental status) * Pegnancy * Hemodynamic instability or respiratory failure requiring emergency intubation and advanced life support
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Haseki Training and Research Hospital
Istanbul, Fatih, 34265, Turkey (Türkiye)
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