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

被引：12

作者：

Chen, Chaofeng ^{[1
,6
]}

Tam, Tsz Kin ^{[2
]}

Sun, Shuai ^{[3
]}

Guo, Yanyan ^{[6
]}

Teng, Peng ^{[4
]}

Jin, Dong ^{[4
]}

Xu, Liujian ^{[5
]}

Liu, Xingpeng ^{[1
]}

机构：

[1] Capital Med Univ, Beijing Chaoyang Hosp, Cardiac Ctr, Beijing, Peoples R China

[2] Prince Wales Hosp, Hong Kong, Peoples R China

[3] Shanxi Prov Peoples Hosp, Taiyuan, Shanxi, Peoples R China

[4] Xuzhou Mine Hosp, Xuzhou, Jiangsu, Peoples R China

[5] Shanghai Prison Gen Hosp, Shanghai, Peoples R China

[6] Xuzhou Third Peoples Hosp, Jiangsu Peoples Hosp, Xuzhou Branch, Xuzhou, Jiangsu, Peoples R China

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2020年 / 38卷 / 06期

关键词：

Supraventricular tachycardia; Modified Valsalva; Cardioversion; TERMINATION; STANDARD;

D O I：

10.1016/j.ajem.2019.158371

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Clinical question: Valsalva maneuver is a recognized treatment for supraventricular tachycardia, but in clinical set- ting 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 context: Appelboam A, Reuben A, Mann C, et al. Postural modification of the standard Valsalva maneu- ver 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]. Objective: To verify the efficacy of the modified Valsalva maneuver in SVT in Chinese population and simplify the operation process further.

引用

页码：1077 / 1081

页数：5

共 13 条

[1]

Al-Khatib SM, 2015, J AM COLL CARDIOL, V17, P1

[2]

Appelboam Andrew, 2014, BMJ Case Rep, V2014, DOI 10.1136/bcr-2013-202699

[3] Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial [J].

Appelboam, Andrew ;

Reuben, Adam ;

Mann, Clifford ;

Gagg, James ;

Ewings, Paul ;

Barton, Andrew ;

Lobban, Trudie ;

Dayer, Mark ;

Vickery, Jane ;

Benger, Jonathan .

LANCET, 2015, 386 (10005) :1747-1753

[4] ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias -: Executive summary a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) [J].

Blomström-Lundqvist, C ;

Scheinman, MM ;

Aliot, EM ;

Alpert, JS ;

Calkins, H ;

Camm, AJ ;

Campbell, WB ;

Haines, DE ;

Kuck, KH ;

Lerman, BB ;

Miller, DD ;

Shaeffer, CW ;

Stevenson, WG ;

Tomaselli, GF ;

Antman, EM ;

Smith, SC ;

Alpert, JS ;

Faxon, DP ;

Fuster, V ;

Gibbons, RJ ;

Gregoratos, G ;

Hiratzka, LF ;

Hunt, SA ;

Jacobs, AK ;

Russell, RO ;

Priori, SG ;

Blanc, JJ ;

Budaj, A ;

Burgos, EF ;

Cowie, M ;

Deckers, JW ;

Garcia, MAA ;

Klein, WW ;

Lekakis, J ;

Lindahl, B ;

Mazzotta, G ;

Morais, JCA ;

Oto, A ;

Smiseth, O ;

Trappe, HJ .

CIRCULATION, 2003, 108 (15) :1871-1909

[5] Comparison of treatment of supraventricular tachycardia by Valsalva maneuver and carotid sinus massage [J].

Lim, SH ;

Anantharaman, V ;

Teo, WS ;

Goh, PP ;

Tan, ATH .

ANNALS OF EMERGENCY MEDICINE, 1998, 31 (01) :30-35

[6] Leg Lift Valsalva Maneuver for Treatment of Supraventricular Tachycardias [J].

Michaud, Allison ;

Lang, Eddy .

CANADIAN JOURNAL OF EMERGENCY MEDICINE, 2017, 19 (03) :235-237

[7] Paroxysmal supraventricular tachycardia in the general population [J].

Orejarena, LA ;

Vidaillet, H ;

DeStefano, F ;

Nordstrom, DL ;

Vierkant, RA ;

Smith, PN ;

Hayes, JJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 31 (01) :150-157

[8] Valsalva Maneuver for Termination of Supraventricular Tachycardia [J].

Pandya, Anjli ;

Lang, Eddy .

ANNALS OF EMERGENCY MEDICINE, 2015, 65 (01) :27-29

[9] Use of the Valsalva manoeuvre in the prehospital setting: a review of the literature [J].

Smith, G. ;

Morgans, A. ;

Boyle, M. .

EMERGENCY MEDICINE JOURNAL, 2009, 26 (01) :8-10

[10] The 10 mL syringe is useful in generating the recommended standard of 40 mmHg intrathoracic pressure for the Valsalva manoeuvre [J].

Smith, Gavin ;

Boyle, Malcolm J. .

EMERGENCY MEDICINE AUSTRALASIA, 2009, 21 (06) :449-454

← 1 2 →