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本文引用的文献

1
Randomised Evaluation of modified Valsalva Effectiveness in Re-entrant Tachycardias (REVERT) study.折返性心动过速改良瓦尔萨尔瓦动作有效性随机评估（REVERT）研究
BMJ Open. 2014 Mar 12;4(3):e004525. doi: 10.1136/bmjopen-2013-004525.
2
Effectiveness of the Valsalva Manoeuvre for reversion of supraventricular tachycardia.瓦尔萨尔瓦动作对室上性心动过速复律的有效性。
Cochrane Database Syst Rev. 2013 Mar 28(3):CD009502. doi: 10.1002/14651858.CD009502.pub2.
3
Impact of a modified Valsalva manoeuvre in the termination of paroxysmal supraventricular tachycardia.改良瓦氏动作终止阵发性室上性心动过速的效果。
Emerg Med J. 2010 Apr;27(4):287-91. doi: 10.1136/emj.2009.073866.
4
The 10 mL syringe is useful in generating the recommended standard of 40 mmHg intrathoracic pressure for the Valsalva manoeuvre.10 毫升注射器可用于产生推荐的瓦尔萨尔瓦动作 40 毫米汞柱胸腔内压力标准。
Emerg Med Australas. 2009 Dec;21(6):449-54. doi: 10.1111/j.1742-6723.2009.01228.x.
5
Review article: Adenosine use in the emergency department.综述文章：急诊科中腺苷的应用
Emerg Med Australas. 2008 Jun;20(3):209-15. doi: 10.1111/j.1742-6723.2008.01100.x.
6
The Valsalva manoeuvre--cardiovascular effects and performance technique: a critical review.瓦尔萨尔瓦动作——心血管效应与操作技巧：批判性综述
Respir Physiol Neurobiol. 2005 May 12;147(1):39-49. doi: 10.1016/j.resp.2005.01.003.
7
Vagal response varies with Valsalva maneuver technique: a repeated-measures clinical trial in healthy subjects.迷走神经反应因瓦尔萨尔瓦动作技术而异：一项针对健康受试者的重复测量临床试验。
Ann Emerg Med. 2004 Apr;43(4):477-82. doi: 10.1016/j.annemergmed.2003.10.044.
8
Modified Valsalva maneuver for paroxysmal supraventricular tachycardia.用于阵发性室上性心动过速的改良瓦尔萨尔瓦动作。
Cardiovasc Drugs Ther. 1997 Mar;11(1):91. doi: 10.1023/a:1007720428027.
9
Augmented Valsalva maneuver for supraventricular tachycardia in the young.年轻人室上性心动过速的增强瓦尔萨尔瓦动作
Ann Intern Med. 1992 Mar 15;116(6):523. doi: 10.7326/0003-4819-116-6-523_1.

改良瓦尔萨尔瓦动作治疗复发性室上性心动过速：技术描述及其在既往直流电复律有近乎致命并发症患者中的成功应用

Modified Valsalva manoeuvre to treat recurrent supraventricular tachycardia: description of the technique and its successful use in a patient with a previous near fatal complication of DC cardioversion.

作者信息

Appelboam Andrew, Gagg James, Reuben Adam

机构信息

Emergency Department, Royal Devon and Exeter Foundation Trust, Exeter, Devon, UK.

Department of Emergency Medicine, Musgrove Park Hospital NHS Foundation Trust, Taunton, Somerset, UK.

出版信息

BMJ Case Rep. 2014 Jul 8;2014:bcr2013202699. doi: 10.1136/bcr-2013-202699.

DOI:10.1136/bcr-2013-202699
PMID:25006052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4091469/
Abstract

Patients with attacks of re-entrant supraventricular tachycardia (SVT) frequently present to the emergency department (ED). The Valsalva manoeuvre (VM) is the most effective and safe vagal manoeuvre and advocated as the first-line treatment in stable patients but has a relatively low cardioversion success rate. Improving its efficacy would reduce patients' exposure to the side effects and complications of second-line treatments and has other potential benefits. We describe a modification to the VM, which is currently being studied, and present the case of a 23-year-old patient who was successfully treated with this modified VM after a previous near-fatal complication of direct current (DC) cardioversion.

摘要

折返性室上性心动过速（SVT）发作的患者经常前往急诊科（ED）就诊。瓦尔萨尔瓦动作（VM）是最有效且安全的迷走神经动作，被提倡作为稳定患者的一线治疗方法，但复律成功率相对较低。提高其疗效将减少患者接触二线治疗的副作用和并发症，并具有其他潜在益处。我们描述了一种目前正在研究的VM改良方法，并介绍了一名23岁患者的病例，该患者在先前直流电（DC）复律出现近乎致命的并发症后，通过这种改良的VM成功治愈。