SGEM#147: This is a SVT and I’m Gonna REVERT It – Using a Modified Valsalva Manoeuvre

Trials extracted from the podcast by Dr. Ken Milne

• 2015REVERTElectrophysiology & AFIn 433 adults with emergency-department supraventricular tachycardia, modified Valsalva restored sinus rhythm at 1 min more often than standard Valsalva.
• 2013Effectiveness of the Valsalva Manoeuvre for reversion of supraventricular tachycardiaElectrophysiology & AFIn 316 patients with supraventricular tachycardia, the Valsalva manoeuvre restored sinus rhythm in 19–54% compared with other vagal manoeuvres.