CASE STUDY: MODIFIED VALSALVA MANOEUVRE
Journal Title: World Journal of Advance Healthcare Research - Year 2018, Vol 2, Issue 6
Abstract
The paper describes the use of non-pharmacological cardioversion – the Valsalva manoeuvre – on a young woman. Studies confirm that vagal manoeuvres are generally recommended procedures of first choice to reverse supraventricular tachyarrhythmias in prehospital emergency care and that application of modified VM is significantly more efficient than standard VM to terminate (paroxysmal) Supraventricular tachycardia (SVT). The standard Valsalva Manoeuvre is performed by forceful exhalation against a closed glottis. Modified Valsalva Manoeuvre is performed by forceful exhalation against resistance (mostly against the injection plunger, tube with oxygen). In our case, we used it for normalisation of supraventricular tachycardia (180 pulses per minute). After the application of the modified Valsalva Manoeuvre, heart action decreased to 105 pulses with disappearing palpitations.
Authors and Affiliations
Jaroslav Pekara
Keywords
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