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INITIAL AND SUSTAINED RESPONSE EFFECTS OF 3 VAGAL MANEUVERS IN SUPRAVENTRICULAR TACHYCARDIA: A RANDOMIZED, CLINICAL TRIAL

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dc.contributor.authorDENİZBAŞI ALTINOK, ARZU
dc.contributor.authorsCeylan, Ezgi; Ozpolat, Cigdem; Onur, Ozge; Akoglu, Haldun; Denizbasi, Arzu
dc.date.accessioned2022-03-12T16:24:18Z
dc.date.available2022-03-12T16:24:18Z
dc.date.issued2019
dc.description.abstractBackground: For acute termination of supraventricular tachycardia (SVT), vagal maneuvers, including the standard Valsalva maneuver (sVM), modified Valsalva (mVM) maneuver, and carotid sinus massage (CSM), are first-line interventions. There is no criterion standard technique. Objective: This prospective, randomized study was aimed at analyzing the success rates of these 3 vagal maneuvers as measured by sustaining sinus rhythm at the fifth minute and SVT termination. Methods: We conducted this prospective, randomized controlled study in an emergency department (ED). We enrolled all the patients who were admitted to the ED and diagnosed with SVT. We randomly assigned them to 3 groups receiving sVM, mVM, and CSM and recorded the patients' responses to the vagal maneuvers and SVT recurrence after vagal maneuvers. Results: The study was completed with 98 patients. A total of 25 (25.5%) instances of SVT were initially treated successfully with vagal maneuvers. The success rate was 43.7% (14/32 cases) from mVM, 24.2% (8/33) for sVM, and 9.1 % (3/33) for CSM (p < 0.05). At the end of the fifth minute, only 12.2% (12/98) of all patients had sinus rhythm. Sinus rhythm persisted in 28.1% (9/32) of patients in the mVM group, 6.1% (2/33) of patients in the sVM group, and 3% (1/33) in the CSM group at the fifth minute (p < 0.05). Conclusion: mVM is superior to the CSM maneuver in terminating SVT and maintaining rhythm. We conclude that it is beneficial to use mVM, which is more effective and lacks side effects. (C) 2019 Elsevier Inc. All rights reserved.
dc.identifier.doi10.1016/j.jemermed.2019.06.008
dc.identifier.eissn1090-1280
dc.identifier.issn0736-4679
dc.identifier.pubmed31443919
dc.identifier.urihttps://hdl.handle.net/11424/226297
dc.identifier.wosWOS:000486616400012
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INC
dc.relation.ispartofJOURNAL OF EMERGENCY MEDICINE
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectcarotid sinus massage
dc.subjectmodified valsalva
dc.subjectstandard valsalva
dc.subjectsupraventricular tachycardia
dc.subjectvagal maneuver
dc.subjectVALSALVA MANEUVER
dc.subjectTERMINATION
dc.subjectSTANDARD
dc.titleINITIAL AND SUSTAINED RESPONSE EFFECTS OF 3 VAGAL MANEUVERS IN SUPRAVENTRICULAR TACHYCARDIA: A RANDOMIZED, CLINICAL TRIAL
dc.typeconferenceObject
dspace.entity.typePublication
local.avesis.ide1463cb5-33d7-4735-895e-8398373b6cd6
local.conference.dateNOV 22-25, 2017
local.conference.locationAntalya, TURKEY
local.conference.title9th Asian Conference on Emergency Medicine
local.import.packageSS15
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages7
local.journal.quartileQ3
oaire.citation.endPage305
oaire.citation.issue3
oaire.citation.startPage299
oaire.citation.titleJOURNAL OF EMERGENCY MEDICINE
oaire.citation.volume57
relation.isAuthorOfPublication85d7879a-b827-49ad-8b5f-77e6661077c7
relation.isAuthorOfPublication.latestForDiscovery85d7879a-b827-49ad-8b5f-77e6661077c7

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