Augmented Valsalva Maneuver for Supraventricular Tachycardia in the Young
Authors: Joseph F. Chance, James G. Warner, Tarek Elsawy
Journal: Annals of Internal Medicine (1992)

Letters15 March 1992Augmented Valsalva Maneuver for Supraventricular Tachycardia in the YoungJoseph F. Chance, MD, James G. Warner, MD, Tarek Elsawy, MDJoseph F. Chance, MD, James G. Warner, MD, Tarek Elsawy, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-116-6-523_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: Vagal maneuvers are commonly used as first-line therapy for supraventricular tachycardia. We report a modification of the classic Valsalva maneuver that has shown increased efficacy in terminating supraventricular tachycardia. A 44-year-old man presented to the emergency department with palpitations. He had a history of exertion-related supraventricular tachycardia treated with verapamil. He denied chest pain, dyspnea, and syncope. There were no other significant findings on review of systems and past medical history. A physical examination revealed blood pressure levels of 135/90 mm Hg and a heart rate of 170 beats/min. Lungs were clear. A cardiac examination showed a...References1. WaxmanWaldSharmaHuertaCameron MRAFD. Vagal techniques for termination of paroxysmal supraventricular tachycardia. Am J Cardiol. 1980;46:655-64. CrossrefMedlineGoogle Scholar2. MehtaWafaWardCamm DSDA. Relative efficacy of various physical manoeuvres in the termination of junctional tachycardia. Lancet. 1988;1:1181-5. CrossrefMedlineGoogle Scholar3. Askey J. Hemiplegia following carotid sinus stimulation. Am Heart J. 1946;31:131-7. CrossrefMedlineGoogle Scholar4. OrnatoHallaganReese JLW. Treatment of paroxysmal supraventricular tachycardia in the emergency department by clinical decision analysis. Am J Emerg Med. 1988;6:555-60. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Joseph F. Chance, MD; James G. Warner, MD; Tarek Elsawy, MDAffiliations: University of Virginia Hospitals Charlottesville VA 22908 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byUpside-down position for the out of hospital management of children with supraventricular tachycardiaModified 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 cardioversionIncorrect instruction in the use of the Valsalva manoeuvre for paroxysmal supra-ventricular tachycardia is commonVagal response varies with valsalva maneuver techniqueComparison of Treatment of Supraventricular Tachycardia by Valsalva Maneuver and Carotid Sinus MassageVagal manoeuvres and drug therapy for terminating paroxysmal supraventricular tachycardias 15 March 1992Volume 116, Issue 6Page: 523-523KeywordsBlood pressureDyspneaEmergency departmentHeart rateIschemiaLungsSyncopeSystematic reviewsTachycardia ePublished: 1 December 2008 Issue Published: 15 March 1992 PDF downloadLoading ...