The effectiveness of the modified Valsalva Manoeuvre for reversion of supraventricular tachycardia

Yoshimura, Satoshi; Kimata, Shunsuke; Sahker, Ethan; Taniguchi, Tetsuo; Watanabe, Norio

doi:10.1002/14651858.cd013762

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…Vagal maneuvers include carotid sinus massage, standard and modified valsalva maneuver and diving reflex 2,3 . Vagal maneuvers increases parasympathetic tone and may slow electrical conduction in the heart to a degree that abolishes sustained reentry, so reverting PSVT to sinus rhythm 4 .…”

Section: Introductionmentioning

confidence: 99%

Comparing Efficacy of Standard Vs Modified Valsalva Maneuver in Terminating Paroxysmal Supraventricular Tachycardia

Shoukat,

Ahmad,

Jehangir

et al. 2023

PJMHS

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Aim: To know whether valsalva maneuver is more effective compared to modified valsalva in terminating paroxysmal supraventricular tachycardia or vice versa. Method: The study design was randomized controlled trial. This research was conducted in accident & emergency department of Mayo hospital, Lahore. Duration of this study was nine months. Participants were divided in two groups, half were assigned in Standard VM group (Group A), and other half in Modified VM group (Group B). In both groups, assigned valsalva maneuver was repeated up to two times, only when paroxysmal supraventricular tachycardia did not revert to sinus rhythm on first time. In those patients, VM failed even after three attempts, antiarrhythmic medications were used. Primary outcome was defined on the basis of successful return of sinus rhythm after either by standard or modified valsalva maneuver. Results: Sixty two patients were included in this study, thirty one in each group. Out of thirty one patients in group A, two patients (3.2%) rhythm reverted to sinus, while in group B, seven patients (11.3%) rhythm reverted to sinus. The number of patients who needed rescue treatment was lower in group B -21 (77.4%) as compared to group A- 29(93.5%). Conclusion: The results of this study showed that modified VM was more effective in terminating PSVT as compared to standard VM. So, number of patients who required pharmacological cardioversion was lower in group B. Keywords: Supraventricular tachycardia (SVT), Standard valsalva maneuver (SVM), Modified valsalva maneuver (MVM)

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Section: Introductionmentioning

confidence: 99%