• BMJ case reports · Jan 2014

    Case Reports

    Modified Valsalva manoeuvre to treat recurrent supraventricular tachycardia: description of the technique and its successful use in a patient with a previous near fatal complication of DC cardioversion.

    • Andrew Appelboam, James Gagg, and Adam Reuben.
    • Emergency Department, Royal Devon and Exeter Foundation Trust, Exeter, Devon, UK.
    • BMJ Case Rep. 2014 Jan 1; 2014.

    AbstractPatients with attacks of re-entrant supraventricular tachycardia (SVT) frequently present to the emergency department (ED). The Valsalva manoeuvre (VM) is the most effective and safe vagal manoeuvre and advocated as the first-line treatment in stable patients but has a relatively low cardioversion success rate. Improving its efficacy would reduce patients' exposure to the side effects and complications of second-line treatments and has other potential benefits. We describe a modification to the VM, which is currently being studied, and present the case of a 23-year-old patient who was successfully treated with this modified VM after a previous near-fatal complication of direct current (DC) cardioversion.2014 BMJ Publishing Group Ltd.

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