Modified Valsalva Maneuver

MODIFIED VALSALVA MANEUVER (REVERT Trial)

Valsalva maneuver is indicated for Stable Supraventricular Tachycardia (SVT) before Adenosine administration.

MODIFIED VALSALVA PROCEDURE:

Position the patient in a semi-recumbent position. The patient performs a Valsalva maneuver for 15 seconds at a 40mmHg pressure, immediately followed by lying supine and elevating the legs.

SUCCESS RATE:

The Standard Valsalva maneuver is the recommended treatment for SVT, but cardioversion rates are between 5–20%.

RESULTS of REVERT:

Standard Valsalva: 37/214 (17%)

Modified Valsalva: 93/214 (43%)

BOTTOM LINE:

The Modified Valsalva Maneuver has a higher conversion rate.

Reference: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2961485-4/fulltext

🎥 The Lancet: https://youtu.be/8DIRiOA_OsA

Disclaimer: This video is for educational purposes and is not intended as medical advice. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time.