Modified Valsalva for supraventricular tachycardias
From IDWiki
Definition
- A usual Valsalva maneuver followed by passive leg raise
Pathophysiology
- Increases the relaxation phase venous return and vagal stimulation above the standard Valsalva
Indications
- Supraventricular tachycardia
Procedure
- Valsalva into a syringe followed by supine positioning and passive leg raise to
Further Reading
- REVERT Trial http://dx.doi.org/10.1016/S0140-6736(15)61485-4: increases success in cardioversion compared to standard Valsalva alone (OR=3.7)