Leg Lift Valsalva Maneuver for Treatment of Supraventricular Tachycardias

Abstract

Clinical question Can conversion to sinus rhythm for a supraventricular tachycardia be enhanced by a postural modification to the Valsalva maneuver? Article chosen Appelboam A, Reuben A, Mann C, et al. Postural modification of the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial. Lancet 2015;386(10005):1747-53. 1 Objective To determine effectiveness of a postural modification of the Valsalva involving leg elevation and supine positioning.