Novel vagal maneuver technique for termination of supraventricular tachycardias
Autor: | Zafer Isilak, Haluk Un, Mehmet Dogan, Omer Uz, Mehmet Uzun |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Vagal maneuver Tachycardia medicine.medical_specialty Vagal stimulation medicine.medical_treatment 030204 cardiovascular system & hematology Patient Positioning Electrocardiography 03 medical and health sciences 0302 clinical medicine Internal medicine Tachycardia Supraventricular medicine Valsalva maneuver Humans cardiovascular diseases Massage medicine.diagnostic_test business.industry 030208 emergency & critical care medicine General Medicine Middle Aged Electrical cardioversion Anesthesia cardiovascular system Emergency Medicine Cardiology medicine.symptom business Medical therapy |
Zdroj: | The American Journal of Emergency Medicine. 34:118.e5-118.e7 |
ISSN: | 0735-6757 |
DOI: | 10.1016/j.ajem.2015.05.028 |
Popis: | Hemodynamically unstable patients with supraventricular tachycardias (SVTs) should be treated with electrical cardioversion. If the patient is stable, acute termination of tachycardia can be achieved by vagal maneuvers or medical therapy. The Valsalva maneuver, carotid massage, and ice to the face are the most common vagal maneuvers. In our experience with patients, we observed that vagal stimulation increases with lying backward. Our suggested maneuver is based on quickly lying backward, from a seated position. Then, a short and powerful vagal stimulation occurs. Thus, SVT episodes can be terminated. Here we present our experience of a new maneuver for terminating SVT, with cases. |
Databáze: | OpenAIRE |
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