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Modified Valsalva Maneuver



MODIFIED VALSALVA MANEUVER (REVERT Trial)


Valsalva maneuver is indicated for Stable Supraventricular Tachycardia (SVT) before Adenosine administration.


MODIFIED VALSALVA PROCEDURE:

Position the patient in a semi-recumbent position. The patient performs a Valsalva maneuver for 15 seconds at a 40mmHg pressure, immediately followed by lying supine and elevating the legs.


SUCCESS RATE:

The Standard Valsalva maneuver is the recommended treatment for SVT, but cardioversion rates are between 5–20%.


RESULTS of REVERT:

Standard Valsalva: 37/214 (17%)

Modified Valsalva: 93/214 (43%)


BOTTOM LINE:

The Modified Valsalva Maneuver has a higher conversion rate.



Disclaimer: This video is for educational purposes and is not intended as medical advice. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time.

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