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Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study

2014; BMJ; Volume: 4; Issue: 3 Linguagem: Inglês

10.1136/bmjopen-2013-004525

2044-6055

Andrew Appelboam, Adam Reuben, Clifford Mann, Trudie Lobban, Paul Ewings, Jonathan Benger, Jane Vickery, Andy Barton, James Gagg,

Cardiac Valve Diseases and Treatments

The Valsalva manoeuvre (VM) is a recommended first-line physical treatment for patients with re-entrant supraventricular tachycardia (SVT), but is often ineffective in standard practice. A failed VM is typically followed by treatment with intravenous adenosine, which patients often find unpleasant. VM effectiveness might be improved by a modification to posture which exaggerates the manoeuvre's vagal response and reduces the need for further emergency treatment.