Title |
Effectiveness of the Valsalva Manoeuvre for reversion of supraventricular tachycardia
|
---|---|
Published in |
Cochrane database of systematic reviews, February 2015
|
DOI | 10.1002/14651858.cd009502.pub3 |
Pubmed ID | |
Authors |
Gavin D Smith, Meagan M Fry, David Taylor, Amee Morgans, Kate Cantwell |
Abstract |
People with the cardiac arrhythmia supraventricular tachycardia (SVT) frequently present to clinicians in the prehospital and emergency medicine settings. Restoring sinus rhythm by terminating the SVT involves increasing the refractoriness of atrioventricular nodal tissue within the myocardium by means of vagal manoeuvres, pharmacological agents, or electrical cardioversion. A commonly used first-line technique to restore the normal sinus rhythm (reversion) is the Valsalva Manoeuvre (VM). This is a non-invasive means of increasing myocardial refractoriness by increasing intrathoracic pressure for a brief period, thus stimulating baroreceptor activity in the aortic arch and carotid bodies, resulting in increased parasympathetic (vagus nerve) tone. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 14% |
Ecuador | 2 | 14% |
Chile | 1 | 7% |
Italy | 1 | 7% |
Guyana | 1 | 7% |
Unknown | 7 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 12 | 86% |
Practitioners (doctors, other healthcare professionals) | 2 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Unknown | 258 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 46 | 18% |
Student > Master | 40 | 15% |
Researcher | 19 | 7% |
Other | 16 | 6% |
Student > Postgraduate | 14 | 5% |
Other | 47 | 18% |
Unknown | 77 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 96 | 37% |
Nursing and Health Professions | 40 | 15% |
Psychology | 6 | 2% |
Unspecified | 5 | 2% |
Biochemistry, Genetics and Molecular Biology | 4 | 2% |
Other | 25 | 10% |
Unknown | 83 | 32% |