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ORIGINAL ARTICLE
Year : 2019  |  Volume : 16  |  Issue : 3  |  Page : 261-264

Response of supraventricular tachycardia patients to modified Valsalva Maneuver in Rozhalat emergency hospital/Erbil City – Kurdistan Region of Iraq


1 Department of Emergency Medicine, Rozhalat Emergency Hospital, Erbil, Iraq
2 Department of Internal Medicine, Director of Training in Kurdistan Board of Medical Specialties, Erbil, Iraq
3 Department of Medicine, Rozhalat Emergency Hospital, Erbil, Iraq

Correspondence Address:
Dara Farhad Abdulqadir
Departments of Emergency Medicine, Rozhalat Emergency Hospital, Erbil
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJBL.MJBL_56_19

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Background: Supraventricular tachycardia (SVT) is one of the common presentations in accident and emergency department. Objective: The aim of the study was to measure out the number of the SVT patients that will respond to modified Valsalva maneuver (MVM). Materials and Methods: A cross-sectional study among done for 60 patients presented with SVT to Rozhalat Emergency Hospital in Erbil between June 15, 2018, and January 15, 2019, a questionnaire form designed to collect data and use MVM properly as the first line of treatment with care to keep the information private. Results: The study results revealed that majority of our sample are middle-aged (40–65 years) and female by 50% and 65%, respectively. Male gender patients were a better responder to modified Valsalva comparing to female gender 53.3% and 46.7%, respectively (though it is statistically not significant). As early patient presented with onset of symptoms, is better responded to modified Valsalva, those patients are divided into patients who come within 1st h (53.3%), within 1–3 h (46.7%), and after 3 h (0%). This was statistically significant. In general, modified Valsalva technique was successful to invert 25% of patients to sinus rhythm nonpharmacologically, and 8.33% of total patients that responded to modified Valsalva needed more than one trial. Conclusions: We can conclude from the study that males are better responders to modified Valsalva than females, As long as patients come early to the emergency room, the better they respond to modified Valsalva. We can also conclude that modified Valsalva was a very good technique for treating SVT patients.


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