What question did this study set out to answer?

To assess the efficacy of a postural modification to the standard Valsalva manoeuvre for emergency conversion of supraventricular tachycardias to normal sinus rhythm.

August 25, 2015The LancetOpen Access

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

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Authors

AAAndrew AppelboamRoyal Devon & Exeter NHS Foundation Trust ARAdam ReubenRoyal Devon & Exeter NHS Foundation Trust CMClifford MannMusgrove Park Hospital

Discussion

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Implication

Randomized trial demonstrates cardioversion efficacy of modified postural Valsalva manoeuvre in supraventricular tachycardia, suggesting an effective noninvasive emergency treatment.

Key Points

To assess the efficacy of a postural modification to the standard Valsalva manoeuvre for emergency conversion of supraventricular tachycardias to normal sinus rhythm.
Randomised controlled trial evaluating a modified postural Valsalva manoeuvre compared to the standard Valsalva manoeuvre.
Conducted in hospital emergency departments among patients presenting with supraventricular tachycardia.
Compared cardioversion rates to normal sinus rhythm achieved with the modified postural manoeuvre versus the standard technique.
Assessed secondary outcomes including the requirement for emergency intravenous rescue medications and subsequent hospital admissions.

Cite This Study

Appelboam et al. (2015) studied this question.

synapsesocial.com/papers/69949325e8ea073da21e5120 https://doi.org/10.1016/s0140-6736(15)61485-4

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Implication

Randomized trial demonstrates cardioversion efficacy of modified postural Valsalva manoeuvre in supraventricular tachycardia, suggesting an effective noninvasive emergency treatment.

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

Discussion

Member takes

Implication

Key Points

Cite This Study

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

Discussion

Member takes

Implication

Key Points

Cite This Study

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