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This is the best vagal maneuver for SVT! #cardiology #emergencymedicine #criticalcare
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Vagal maneuvers increase parasympathetic (vagal) tone, slowing conduction through the AV node.
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In hemodynamically stable patients with paroxysmal supraventricular tachycardia (PSVT), vagal maneuvers are the first-line therapy. One example is the modified Valsalva maneuver, which begins with a strain phase followed by leg elevation while in the supine position. Watch the video short to see the Valsalva maneuver in action, and read the JAMA review on PSVT: https://ja.ma/46Xvyhh | JAMA
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The modified Valsalva maneuver works by briefly changing pressure inside your chest. When you strain, less blood returns to the heart. When you release, blood suddenly rushes back in. Your body senses that change and triggers a strong vagal (calming) response, which slows signals through the heart’s electrical system. That pause can be enough to break the loop and reset the rhythm back to normal. Simple physiology — using your body’s own reflexes to stop an abnormal heartbeat. #SVT #HeartHealth
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Carotid sinus massage, a vagal maneuver, is another first-line therapy option for hemodynamically stable paroxysmal supraventricular tachycardia (PSVT). This maneuver involves gentle pressure over the cardioid bifurcation for 5 seconds, directly stimulating baroreceptors. Watch the video short to learn more, and read the JAMA Review on PSVT: https://ja.ma/4dPjUXS | JAMA
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