Instructions for the Modified Valsalva Maneuver for Treatment of Supraventricular Tachycardia (SVT) 1) In a semi-recumbent position, have the patient blow into a 10cc syringe for 15 seconds, generating ~40 mmHg pressure (Standard Valsalva Maneuver) 2) Move patient to a supine position and perform a 15 second passive leg raise to an elevation of 45° 3) Return to semi-recumbent position for 30 seconds. Can repeat once if no success in cardioversion. 43% cardioversion in Modified Valsalva maneuver vs 17% cardioversion in standard Valsalva maneuver REVERT Trial - Lancet 2015; 386: 1747–53 http://dx.doi.org/10.1016/S0140-673 #Modified #Valsalva #Maneuver #Supraventricular #Tachycardia #SVT #Cardiology #Instructions #Procedure #Management
