Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study
<p><strong>Introduction:</strong> The use of vagal nerve stimulation is identified as a proper treatment option in patients with stable supraventricular tachycardia (SVT). This study aimed to assess the success of Valsalva maneuver via a handmade device in reversion of SVT. <str...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2017-01-01
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| Series: | Emergency |
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| Online Access: | http://journals.sbmu.ac.ir/emergency/article/view/18805 |
| _version_ | 1819065984718209024 |
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| author | Maryam Motamedi Mohammad Ali Akbarzadeh Saeed Safari Mehrnoosh Shahhoseini |
| author_facet | Maryam Motamedi Mohammad Ali Akbarzadeh Saeed Safari Mehrnoosh Shahhoseini |
| author_sort | Maryam Motamedi |
| collection | DOAJ |
| description | <p><strong>Introduction:</strong> The use of vagal nerve stimulation is identified as a proper treatment option in patients with stable supraventricular tachycardia (SVT). This study aimed to assess the success of Valsalva maneuver via a handmade device in reversion of SVT. <strong>Methods:</strong> In this quasi experimental study, using a handmade device, vagus nerve stimulation was performed for SVT patients presenting to emergency department or cardiac intervention unit and the success rate and its related factors were assessed. <strong>Results:</strong> 100 patients with the mean age of 53.05 ± 13.70 years were studied (67% female). 12 (12%) cases were unable to do the maneuver. Out of the 88 (88.0%) patients who could perform the maneuver, 75 (85.2%) cases were unsuccessful. Dysrhythmia was controlled in 6 (6.8%) cases on the first attempt and in 7 (8.0%) cases on the second one (14.8% total success rate). 12 of the 13 cases (92.3%) with successful maneuver had history of SVT (p = 0.031). There was not any significant association between success rate and sex (p = 0.084), age (p = 0.744), or other medical histories (p ≥ 0.05). <strong>Conclusion:</strong> Based on the results of the present study, the success rate of Valsalva maneuver with the mentioned handmade device was calculated to be 14.8%. The only independent related factor of successful reversion was SVT history. </p> |
| first_indexed | 2024-12-21T15:55:09Z |
| format | Article |
| id | doaj.art-8d378a9c3e9842b18cc523ac044313c2 |
| institution | Directory Open Access Journal |
| issn | 2345-4563 2345-4571 |
| language | English |
| last_indexed | 2024-12-21T15:55:09Z |
| publishDate | 2017-01-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Emergency |
| spelling | doaj.art-8d378a9c3e9842b18cc523ac044313c22022-12-21T18:58:07ZengShahid Beheshti University of Medical SciencesEmergency2345-45632345-45712017-01-0151e81e8110.22037/emergency.v5i1.188059464Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental StudyMaryam Motamedi0Mohammad Ali Akbarzadeh1Saeed Safari2Mehrnoosh Shahhoseini3Emergency Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Emergency Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Emergency Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.<p><strong>Introduction:</strong> The use of vagal nerve stimulation is identified as a proper treatment option in patients with stable supraventricular tachycardia (SVT). This study aimed to assess the success of Valsalva maneuver via a handmade device in reversion of SVT. <strong>Methods:</strong> In this quasi experimental study, using a handmade device, vagus nerve stimulation was performed for SVT patients presenting to emergency department or cardiac intervention unit and the success rate and its related factors were assessed. <strong>Results:</strong> 100 patients with the mean age of 53.05 ± 13.70 years were studied (67% female). 12 (12%) cases were unable to do the maneuver. Out of the 88 (88.0%) patients who could perform the maneuver, 75 (85.2%) cases were unsuccessful. Dysrhythmia was controlled in 6 (6.8%) cases on the first attempt and in 7 (8.0%) cases on the second one (14.8% total success rate). 12 of the 13 cases (92.3%) with successful maneuver had history of SVT (p = 0.031). There was not any significant association between success rate and sex (p = 0.084), age (p = 0.744), or other medical histories (p ≥ 0.05). <strong>Conclusion:</strong> Based on the results of the present study, the success rate of Valsalva maneuver with the mentioned handmade device was calculated to be 14.8%. The only independent related factor of successful reversion was SVT history. </p>http://journals.sbmu.ac.ir/emergency/article/view/18805Vagus nerve stimulationValsalva maneuvertachycardia, supraventriculararrhythmias, cardiacemergency service, hospital |
| spellingShingle | Maryam Motamedi Mohammad Ali Akbarzadeh Saeed Safari Mehrnoosh Shahhoseini Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study Emergency Vagus nerve stimulation Valsalva maneuver tachycardia, supraventricular arrhythmias, cardiac emergency service, hospital |
| title | Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study |
| title_full | Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study |
| title_fullStr | Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study |
| title_full_unstemmed | Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study |
| title_short | Valsalva maneuver using a Handmade Device in Supraventricular Tachycardia Reversion; a Quasi Experimental Study |
| title_sort | valsalva maneuver using a handmade device in supraventricular tachycardia reversion a quasi experimental study |
| topic | Vagus nerve stimulation Valsalva maneuver tachycardia, supraventricular arrhythmias, cardiac emergency service, hospital |
| url | http://journals.sbmu.ac.ir/emergency/article/view/18805 |
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