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A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias.
Am J Emerg Med. 2020 06; 38(6):1077-1081.AJ

Abstract

CLINICAL QUESTION

Valsalva maneuver is a recognized treatment for supraventricular tachycardia, but in clinical setting it has a low chance to achieve successful cardioversion. Studies suggested that the postural modification of valsalva maneuver may improve the rate of cardioversion. We further modified the maneuver and conduct a multicenter randomized controlled trial to test its efficacy.

RESEARCH IN CONTEXT

Appelboam A, Reuben A, Mann C, et al. Postural modification of the standard Valsalva maneuver for emergency treatment for supraventricular tachycardias (REVERT): a randomized controlled trial. Lancet 2015; 386 (10005):1747-53 [1]. Allison Michaud, PhD, Eddy Lang. Leg lift Valsalva maneuver for treatment of supraventricular tachycardias. CJEM 2017; 19(3):235-237 [2].

OBJECTIVE

To verify the efficacy of the modified Valsalva maneuver in SVT in Chinese population and simplify the operation process further.

Authors+Show Affiliations

Cardiac Center, Beijing Chaoyang Hospital affiliated to Capital Medical University, China; Jiangsu People's Hospital of Xuzhou branch (Xuzhou Third People's Hospital), China. Electronic address: doctorchenchaofeng@163.com.Prince of Wales Hospital, Hong Kong.Shanxi provincial people's hospital, China.Jiangsu People's Hospital of Xuzhou branch (Xuzhou Third People's Hospital), China.Xuzhou mine hospital, China.Xuzhou mine hospital, China.Shanghai prison general hospital, China.Cardiac Center, Beijing Chaoyang Hospital affiliated to Capital Medical University, China. Electronic address: xpliu71@vip.sina.com.

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

31422858

Citation

Chen, Chaofeng, et al. "A Multicenter Randomized Controlled Trial of a Modified Valsalva Maneuver for Cardioversion of Supraventricular Tachycardias." The American Journal of Emergency Medicine, vol. 38, no. 6, 2020, pp. 1077-1081.
Chen C, Tam TK, Sun S, et al. A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias. Am J Emerg Med. 2020;38(6):1077-1081.
Chen, C., Tam, T. K., Sun, S., Guo, Y., Teng, P., Jin, D., Xu, L., & Liu, X. (2020). A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias. The American Journal of Emergency Medicine, 38(6), 1077-1081. https://doi.org/10.1016/j.ajem.2019.158371
Chen C, et al. A Multicenter Randomized Controlled Trial of a Modified Valsalva Maneuver for Cardioversion of Supraventricular Tachycardias. Am J Emerg Med. 2020;38(6):1077-1081. PubMed PMID: 31422858.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias. AU - Chen,Chaofeng, AU - Tam,Tsz Kin, AU - Sun,Shuai, AU - Guo,Yanyan, AU - Teng,Peng, AU - Jin,Dong, AU - Xu,Liujian, AU - Liu,Xingpeng, Y1 - 2019/08/01/ PY - 2019/03/26/received PY - 2019/07/20/revised PY - 2019/07/25/accepted PY - 2019/8/20/pubmed PY - 2020/8/4/medline PY - 2019/8/20/entrez KW - Cardioversion KW - Modified Valsalva KW - Supraventricular tachycardia SP - 1077 EP - 1081 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 38 IS - 6 N2 - CLINICAL QUESTION: Valsalva maneuver is a recognized treatment for supraventricular tachycardia, but in clinical setting it has a low chance to achieve successful cardioversion. Studies suggested that the postural modification of valsalva maneuver may improve the rate of cardioversion. We further modified the maneuver and conduct a multicenter randomized controlled trial to test its efficacy. RESEARCH IN CONTEXT: Appelboam A, Reuben A, Mann C, et al. Postural modification of the standard Valsalva maneuver for emergency treatment for supraventricular tachycardias (REVERT): a randomized controlled trial. Lancet 2015; 386 (10005):1747-53 [1]. Allison Michaud, PhD, Eddy Lang. Leg lift Valsalva maneuver for treatment of supraventricular tachycardias. CJEM 2017; 19(3):235-237 [2]. OBJECTIVE: To verify the efficacy of the modified Valsalva maneuver in SVT in Chinese population and simplify the operation process further. SN - 1532-8171 UR - https://www.unboundmedicine.com/medline/citation/31422858/A_multicenter_randomized_controlled_trial_of_a_modified_Valsalva_maneuver_for_cardioversion_of_supraventricular_tachycardias_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(19)30501-7 DB - PRIME DP - Unbound Medicine ER -