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Effectiveness of the modified Valsalva maneuver in the emergency management of supraventricular tachycardia
Joint Authors
Muhammad, Amin M.
Sayyid, Mahir Sad Allah
Migliore, Federico
Source
Issue
Vol. 16, Issue 2 (30 Jun. 2019), pp.104-107, 4 p.
Publisher
University of Babylon College of Medicine
Publication Date
2019-06-30
Country of Publication
Iraq
No. of Pages
4
Main Subjects
Abstract EN
Background: The return rate of supraventricular tachycardia (SVT) to sinus rhythm by the standard Valsalva maneuver (SVM) is as low as 5%–20%.
Despite the limited available data in the literature, the modified Valsalva maneuver (MVM) is promising.
We tested the effectiveness of the MVM for the emergency treatment of patients with SVT.
Materials and Methods: In this cohort prospective study, 93 confirmed SVT cases with mean age of 47.88 ± 15.66 years and female: male ratio (1.73) across multiple centers underwent MVM.
The reversion to sinus rhythm after 1 min of the maneuver, in the first or second attempt, was considered to be a success, and other conditions were considered to be a failure.
Alternative therapies were administered for nonresponders.
Results: The overall success rate of the reversion of SVT to sinus rhythm by using MVM in this study is 47.3%.
In addition, the rate was not affected by medical and drug histories, and the rate was not substantially different among the patients having different sociodemographics, blood pressures, and pulse rate statuses.
MVM has a high cardioversion rate when used for patients with SVT.
We recommend using it instead of the SVM as the first‑line nonpharmacologic therapy for SVT.
Conclusion: The MVM has a very reasonable cardioversion rate in the setting of emergency treatment of SVT regardless of the associated sociodemographic and medical histories of patients.
American Psychological Association (APA)
Muhammad, Amin M.& Sayyid, Mahir Sad Allah& Migliore, Federico. 2019. Effectiveness of the modified Valsalva maneuver in the emergency management of supraventricular tachycardia. Medical Journal of Babylon،Vol. 16, no. 2, pp.104-107.
https://search.emarefa.net/detail/BIM-892166
Modern Language Association (MLA)
Muhammad, Amin M.…[et al.]. Effectiveness of the modified Valsalva maneuver in the emergency management of supraventricular tachycardia. Medical Journal of Babylon Vol. 16, no. 2 (Apr. / Jun. 2019), pp.104-107.
https://search.emarefa.net/detail/BIM-892166
American Medical Association (AMA)
Muhammad, Amin M.& Sayyid, Mahir Sad Allah& Migliore, Federico. Effectiveness of the modified Valsalva maneuver in the emergency management of supraventricular tachycardia. Medical Journal of Babylon. 2019. Vol. 16, no. 2, pp.104-107.
https://search.emarefa.net/detail/BIM-892166
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 106-107
Record ID
BIM-892166