The use of vagal manoeuvres in narrow complex tachyarrhythmias in primary care

0Citations
Citations of this article
14Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Supraventricular tachydysrhythmias (SVTs) are a common presenting complaint, with a national prevalence of 3/1000 persons. While most commonly stable, prolonged paroxysms can deteriorate into haemodynamically unstable subtypes or ventricular dysrhythmias. Early recognition with appropriate management is critical to reducing the morbidity associated with this condition. The American Heart Association holds that vagal manoeuvres are a first-line therapy in the management algorithm of stable SVTs. However, they state that no clear recommendations can be made around which manoeuvre to use, highlighting that future research should examine the efficacy and safety profiles of the various manoeuvres. In the South African primary care setting, clinicians must be at the forefront of pragmatic management strategies in the face of resource limitations, such as the unavailability of adenosine – a second-line therapy when vagal manoeuvres fail. In this article, we begin with a case study and review the literature around vagal manoeuvres.

References Powered by Scopus

2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

243Citations
N/AReaders
Get full text

Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): A randomised controlled trial

138Citations
N/AReaders
Get full text

The Valsalva manoeuvre: Physiology and clinical examples

123Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Murphy, S. D., & Torlutter, M. (2022). The use of vagal manoeuvres in narrow complex tachyarrhythmias in primary care. South African Family Practice, 64(1). https://doi.org/10.4102/safp.v64i1.5413

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 2

67%

Researcher 1

33%

Readers' Discipline

Tooltip

Nursing and Health Professions 2

50%

Medicine and Dentistry 1

25%

Computer Science 1

25%

Save time finding and organizing research with Mendeley

Sign up for free