WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database

Abstract

CASE STUDY: MODIFIED VALSALVA MANOEUVRE

Jaroslav Pekara*, Petr Zvolsky and David Peran

ABSTRACT

The paper describes the use of non-pharmacological cardioversion – the Valsalva manoeuvre – on a young woman. Studies confirm that vagal manoeuvres are generally recommended procedures of first choice to reverse supraventricular tachyarrhythmias in prehospital emergency care and that application of modified VM is significantly more efficient than standard VM to terminate (paroxysmal) Supraventricular tachycardia (SVT). The standard Valsalva Manoeuvre is performed by forceful exhalation against a closed glottis. Modified Valsalva Manoeuvre is performed by forceful exhalation against resistance (mostly against the injection plunger, tube with oxygen). In our case, we used it for normalisation of supraventricular tachycardia (180 pulses per minute). After the application of the modified Valsalva Manoeuvre, heart action decreased to 105 pulses with disappearing palpitations.

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