Key result
The Valsalva manoeuvre achieved pre-hospital SVT reversion rates of 21.4-27.7%, while adenosine achieved 80.7-100% reversion, supporting the introduction of adenosine into UK paramedic practice.
Why the study?
Do vagal manoeuvres or adenosine improve reversion rates in patients with supraventricular tachycardia in the pre-hospital environment?
Population
Patients with supraventricular tachycardia in hospital or pre-hospital environments.
Design
Review
Authors
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May support adenosine in UK paramedic SVT protocols; leaves open randomized trials before practice change.
Do vagal manoeuvres or adenosine improve reversion rates in patients with supraventricular tachycardia in the pre-hospital environment?
The evidence supports the effectiveness of the Valsalva manoeuvre and the safe pre-hospital use of adenosine, supporting its introduction into UK paramedic practice for SVT management.
Alexander Sharp (2015) conducted a review in Supraventricular tachycardia (SVT) (n=18). Valsalva manoeuvre and adenosine was evaluated on SVT reversion rates. The Valsalva manoeuvre achieved pre-hospital SVT reversion rates of 21.4-27.7%, while adenosine achieved 80.7-100% reversion, supporting the introduction of adenosine into UK paramedic practice.
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