Article Text

PDF
Randomised controlled trial
A modification to the Valsalva manoeuvre improves its effectiveness in treating supraventricular tachycardia
  1. Leszek Pstras
  1. Correspondence to : Leszek Pstras, Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Ks. Trojdena 4, Warsaw 02-109, Poland; lpstras{at}ibib.waw.pl

Statistics from Altmetric.com

Commentary on: OpenUrlCrossRefPubMed

Implications for practice and research

  • In patients with stable supraventricular tachycardia (SVT), a 15 s, 40 mm Hg Valsalva strain in the semirecumbent position should be followed by supine positioning and passive leg elevation immediately after the strain release (as long as it can be undertaken safely).

  • Research needs to be carried out on whether such a postural modification of the Valsalva manoeuvre (VM) is superior to the manoeuvre performed in the fully supine position.

Context

One of the many applications of the VM is its use for arresting episodes of SVT based on the relatively sudden reduction of heart rate in response to the increased venous return …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.