The alternative vagal maneuver; converting atrioventricular nodal re-entrant tachycardia by a rectal thermometer.

Autor: Avidan Y; Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel., Aker A; Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel., Tabachnikov V; Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel.
Jazyk: angličtina
Zdroj: Oxford medical case reports [Oxf Med Case Reports] 2024 Jan 27; Vol. 2024 (1), pp. omad143. Date of Electronic Publication: 2024 Jan 27 (Print Publication: 2024).
DOI: 10.1093/omcr/omad143
Abstrakt: Vagal maneuvers are techniques used to increase parasympathetic tone, particularly useful in the management of hemodynamically stable supraventricular tachycardias. If ineffective, adenosine can be attempted. We present a patient with atrioventricular nodal re-entrant tachycardia (AVNRT), who could not effectively perform Valsalva maneuvers and had contraindications for carotid massage and adenosine administration, that converted into sinus rhythm by using a rectal thermometer. This maneuver was reproduced on various occasions. We suggest that rectal vagal maneuver may provide an additional therapeutic modality for selected patients with AVNRT.
Competing Interests: No conflicts of interest.
(© The Author(s) 2024. Published by Oxford University Press.)
Databáze: MEDLINE
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