Joseph F. Chance, MD; James G. Warner, MD; Tarek Elsawy, MD
To the Editors: Vagal maneuvers are commonly used as first-line therapy for supraventricular tachycardia. We report a modification of the classic Valsalva maneuver that has shown increased efficacy in terminating supraventricular tachycardia.
A 44-year-old man presented to the emergency department with palpitations. He had a history of exertion-related supraventricular tachycardia treated with verapamil. He denied chest pain, dyspnea, and syncope. There were no other significant findings on review of systems and past medical history. A physical examination revealed blood pressure levels of 135/90 mm Hg and a heart rate of 170 beats/min. Lungs were clear. A cardiac examination showed a
Chance JF, Warner JG, Elsawy T. Augmented Valsalva Maneuver for Supraventricular Tachycardia in the Young. Ann Intern Med. ;116:523. doi: 10.7326/0003-4819-116-6-523_1
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Published: Ann Intern Med. 1992;116(6):523.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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