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. 2015 May 18;2015(5):CD009503. doi: 10.1002/14651858.CD009503.pub3

Wang 2008.

Methods Date of publication: 2008
 Design: not reported
 Allocation: randomised
 Country: China
Participants Diagnosis: AMI for PPCI
Number: 28 (adenosine 14; control 14)
Age, years: adenosine (mean 48.6 ± 13.7); control (mean 46.2 ± 13.1)
Sex: 82% men
Inclusion: chest pain for at least 30 minutes; time from onset of symptoms of 12 hours before hospital admission; an ECG showing ST‐segment elevation of 0.1 mV in 2 or more leads; cardiac marker increased to twice the upper limit; not received fibrinolysis at emergency department; HR ≥ 50/min, BP ≥ 90/60 mmHg
Exclusion: cardiogenic shock; Killip class ≥ 3; history of asthma; HR < 50/min, TIMI flow 3
Withdrawals or losses to follow‐up: not reported
Interventions Adenosine
  • Dose: 500 μg in 10 mL normal saline

  • Route of administration: intracoronary

  • Timing: during PPCI, after balloon inflation


Control
  • Dose: 10 mL normal saline

  • Route of administration: intracoronary

  • Timing: during PPCI, after balloon inflation

Outcomes
  • TIMI (RR 0.50, 95% Cl 0.11 to 2.30)

  • Bradycardia


Follow‐up: during hospitalisation
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, no further description
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk No description
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No incomplete outcome data
Selective reporting (reporting bias) Low risk All outcomes stated in Methods are reported in Results
Other bias Low risk Not obvious