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Novel vagal maneuver technique for termination of supraventricular tachycardias.
Am J Emerg Med. 2016 Jan; 34(1):118.e5-7.AJ

Abstract

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.

Authors+Show Affiliations

Department of Cardiology, Gulhane Military Medical Academy, Haydarpasa Hospital, Istanbul, Turkey. Electronic address: halukerzurum@yahoo.com.Department of Cardiology, Gulhane Military Medical Academy, Haydarpasa Hospital, Istanbul, Turkey.Department of Cardiology, Gulhane Military Medical Academy, Haydarpasa Hospital, Istanbul, Turkey.Department of Cardiology, Gulhane Military Medical Academy, Haydarpasa Hospital, Istanbul, Turkey.Department of Cardiology, Gulhane Military Medical Academy, Haydarpasa Hospital, Istanbul, Turkey.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26209466

Citation

Un, Haluk, et al. "Novel Vagal Maneuver Technique for Termination of Supraventricular Tachycardias." The American Journal of Emergency Medicine, vol. 34, no. 1, 2016, pp. 118.e5-7.
Un H, Dogan M, Uz O, et al. Novel vagal maneuver technique for termination of supraventricular tachycardias. Am J Emerg Med. 2016;34(1):118.e5-7.
Un, H., Dogan, M., Uz, O., Isilak, Z., & Uzun, M. (2016). Novel vagal maneuver technique for termination of supraventricular tachycardias. The American Journal of Emergency Medicine, 34(1), e5-7. https://doi.org/10.1016/j.ajem.2015.05.028
Un H, et al. Novel Vagal Maneuver Technique for Termination of Supraventricular Tachycardias. Am J Emerg Med. 2016;34(1):118.e5-7. PubMed PMID: 26209466.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Novel vagal maneuver technique for termination of supraventricular tachycardias. AU - Un,Haluk, AU - Dogan,Mehmet, AU - Uz,Omer, AU - Isilak,Zafer, AU - Uzun,Mehmet, Y1 - 2015/06/03/ PY - 2015/05/07/received PY - 2015/05/20/accepted PY - 2015/7/26/entrez PY - 2015/7/26/pubmed PY - 2016/4/14/medline SP - 118.e5 EP - 7 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 34 IS - 1 N2 - 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. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/26209466/Novel_vagal_maneuver_technique_for_termination_of_supraventricular_tachycardias_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(15)00449-0 DB - PRIME DP - Unbound Medicine ER -