Diltiazem versus adenosine for treating supraventricular tachycardia in the emergency room

PERceptions of Diltiazem Versus ADEnosine for Treatment of Supraventricular Tachycardia in the Emergency Department: PERVADE-ED Study

Observational University of Iowa · NCT07086560

This study will see if IV diltiazem or IV adenosine works better and causes fewer side effects for adults who come to the emergency department with supraventricular tachycardia.

Quick facts

Study typeObservational
Enrollment20 (estimated)
Ages18 Years to 100 Years
SexAll
SponsorUniversity of Iowa Academic / other
Locations1 site (Iowa City, Iowa)
Trial IDNCT07086560 on ClinicalTrials.gov

What this trial studies

This observational study compares adults presenting to the emergency department with acute SVT who receive IV adenosine, IV diltiazem, or both, collecting clinical outcomes and patient-reported side effects. Researchers will record treatment success, hemodynamic effects, adverse events, and patients' perceptions of symptom distress after medication. Enrollment is limited to English-speaking adults able to complete surveys and excludes pregnant or incarcerated patients and those too unstable to participate. All study activities occur at the University of Iowa Health Care emergency department.

Who should consider this trial

Good fit: Adults aged 18 or older who come to the ED with acute SVT and receive IV adenosine and/or IV diltiazem and who can complete surveys in English are ideal candidates.

Not a fit: People who are pregnant, incarcerated, non-English speaking, or too medically unstable to complete surveys would not be eligible and are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, the results could help clinicians choose the medication that stops SVT effectively while causing less patient distress and fewer adverse events.

How similar studies have performed: Direct head-to-head comparisons of adenosine and diltiazem are limited, so this observational comparison addresses a relatively under-studied question rather than following a well-established precedent.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. ED encounter for acute SVT
2. Age \>/= 18 years
3. Receipt of IV adenosine and/or IV diltiazem for SVT in the ED or prehospital setting

Exclusion Criteria:

1. Neurologic status precluding survey participation due to medical instability
2. Pregnant
3. Incarcerated
4. Non-English speaking

Where this trial is running

Iowa City, Iowa

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Supraventricular Tachycardiadiltiazemadenosineemergency medicinesupraventricular tachycardia
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.