The Reverse Vagal Manoeuvre for SVT
The Reverse Vagal Manoeuvre for SVT
Apr 6, 2021
resus.com.au
In hemodynamically stable patients with paroxysmal supraventricular tachycardia (PSVT), vagal maneuvers are the first-line therapy. One example is the modified Valsalva maneuver, which begins with a strain phase followed by leg elevation while in the supine position. Watch the video short to see the Valsalva maneuver in action, and read the JAMA review on PSVT: https://ja.ma/46Xvyhh | JAMA
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In hemodynamically stable patients with paroxysmal supraventricular tachycardia (PSVT), vagal maneuvers are the first-line therapy. One example is the modified Valsalva maneuver, which begins with a strain phase followed by leg elevation while in the supine position. Watch the video short to see the Valsalva maneuver in action, and read the JAMA review on PSVT: https://ja.ma/46Xvyhh | JAMA
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Ever seen a fast heart rhythm flip back to normal in seconds. This video captures an SVT episode that appears to convert to normal sinus rhythm after a vagal maneuver combined with a rapid move to a supine position with legs elevated. It offers an interesting real world look at how physiology and positioning may work together in acute care. The Revert trial, published in The Lancet in 2015, suggested that combining a standardized vagal maneuver with rapid repositioning and leg elevation could im
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