• Am J Emerg Med · Jun 2020

    Randomized Controlled Trial Multicenter Study

    A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias.

    • Chaofeng Chen, Tsz Kin Tam, Shuai Sun, Yanyan Guo, Peng Teng, Dong Jin, Liujian Xu, and Xingpeng Liu.
    • Cardiac Center, Beijing Chaoyang Hospital affiliated to Capital Medical University, China; Jiangsu People's Hospital of Xuzhou branch (Xuzhou Third People's Hospital), China. Electronic address: doctorchenchaofeng@163.com.
    • Am J Emerg Med. 2020 Jun 1; 38 (6): 1077-1081.

    Clinical QuestionValsalva maneuver is a recognized treatment for supraventricular tachycardia, but in clinical setting it has a low chance to achieve successful cardioversion. Studies suggested that the postural modification of valsalva maneuver may improve the rate of cardioversion. We further modified the maneuver and conduct a multicenter randomized controlled trial to test its efficacy.Research In ContextAppelboam A, Reuben A, Mann C, et al. Postural modification of the standard Valsalva maneuver for emergency treatment for supraventricular tachycardias (REVERT): a randomized controlled trial. Lancet 2015; 386 (10005):1747-53 [1]. Allison Michaud, PhD, Eddy Lang. Leg lift Valsalva maneuver for treatment of supraventricular tachycardias. CJEM 2017; 19(3):235-237 [2].ObjectiveTo verify the efficacy of the modified Valsalva maneuver in SVT in Chinese population and simplify the operation process further.Copyright © 2019 Elsevier Inc. All rights reserved.

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