TY - JOUR T1 - A modification to the Valsalva manoeuvre improves its effectiveness in treating supraventricular tachycardia JF - Evidence Based Nursing JO - Evid Based Nurs SP - 77 LP - 77 DO - 10.1136/ebnurs-2016-102329 VL - 19 IS - 3 AU - Leszek Pstras Y1 - 2016/07/01 UR - http://ebn.bmj.com/content/19/3/77.abstract N2 - Commentary on: Appelboam A, Reuben A, Mann C, et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial. Lancet 2015;386:1747–1753.OpenUrlCrossRefPubMedIn 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.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 … ER -