Modifikasi Postural dari Standar Manuver Valsalva untuk Perawatan Kedaruratan pada Takikardia Supraventrikular

  • Ii Ismail Universitas Muhammadiyah Jakarta
  • Diana Irawati Universitas Muhammadiyah Jakarta
  • Kuraesin Kuraesin Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita

Abstract

This study aims to determine the effectiveness of the modified valsalva maneuver in restoring sinus rhythm in patients presenting to the emergency department of the Harapan Kita National Heart Hospital Jakarta with Supraventricular Tachycardia (SVT). The method used is quantitative with a pre-experimental research design. The results showed that the modified valsalva maneuver affected systolic and diastolic blood pressure and heart rate, with the average difference between pre and post-valsalva maneuver modification being 0.399 in systole; 0.075 in diastole; and a heart rate of 0.081. In conclusion, the valsalva maneuver modification is able to change the SVT ECG image into a Sinus Rythem ECG.

Keywords:  Modified Valsalva Maneuver, Emergency Treatment, Supraventricular Tachycardia

References

Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., De Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., Lichtman, J. H., Lisabeth, L., Liu, S., Longenecker, C. T., Lutsey, P. L., Mackey, J. S., Matchar, D. B., Matsushita, K., Mussolino, M. E., Nasir, K., O’Flaherty, M., Palaniappan, L. P., Pandey, A., Pandey, D. K., Reeves, M. J., Ritchey, M. D., Rodriguez, C. J., Roth, G. A., Rosamond, W. D., Sampson, U. K. A., Satou, G. M., Shah, S. H., Spartano, N. L., Tirschwell, D. L., Tsao, C. W., Voeks, J. H., Willey, J. Z., Wilkins, J. T., Wu, J. H. Y., Alger, H. M., Wong, S. S., & Muntner, P. (2018). Heart Disease and Stroke Statistics - 2018 Update: A Report from the American Heart Association. Circulation, 137(12), 67-492. https://doi.org/10.1161/CIR.0000000000000558

Birhanu, F., Yitbarek, K., Addis, A., Alemayehu, D., & Shifera, N. (2021). Patient-Centered Care and Associated Factors at Public and Private Hospitals of Addis Ababa: Patients’ Perspective. Patient Related Outcome Measures, 12, 107-116. https://doi.org/10.2147/PROM.S301771

Chen, C., Tam, T. K., Sun, S., Guo, Y., Teng, P., Jin, D., Xu, L., & Liu, X. (2020). A Multicenter Randomized Controlled Trial of a Modified Valsalva Maneuver for Cardioversion of Supraventricular Tachycardias. American Journal of Emergency Medicine, 38(6), 1077–1081. https://doi.org/10.1016/j.ajem.2019.158371

DeSimone, C. V., Naksuk, N., & Asirvatham, S. J. (2018). Supraventricular Arrhythmias: Clinical Framework and Common Scenarios for the Internist. Mayo Clinic Proceedings, 93(12), 1825–1841. https://doi.org/10.1016/j.mayocp.2018.07.019

Gaudart, P., Cazes, N., Simon, K., Larger, D., & Deharo, J. C. (2021). The Reverse Vagal Manoeuvre: A New Tool for Treatment of Supraventricular Tachycardia? American Journal of Emergency Medicine, 41, 66–69. https://doi.org/10.1016/j.ajem.2020.12.061

Grautoff, S. (2021). REVERT the Diagnosis - Modified Valsalva Manoeuvre as a Method to Differentiate Supraventricular Tachycardia from Atrial Flutter. American Journal of Emergency Medicine, 41, 251–254. https://doi.org/10.1016/j.ajem.2020.05.105

Hayes, D. D. (2018). Teaching the Modified Valsalva Maneuver to Terminate SVT. Nursing, 48(12). https://doi.org/10.1097/01.NURSE.0000547735.82178.71

Vincent, A., & Sunata, A. (2020). Takikardia Reentri Atrioventrikuler Ortodromik Terkait Sindrom Wolff-Parkinson-White (Laporan Kasus). Medika Kartika Jurnal Kedokteran dan Kesehatan, 3(2), 71–84. https://dx.doi.org/10.35990/mk.v3n2.p71-84

Wang, W., Han, W. Z., Jin, L., Zhao, X. J., Jiang, T. F., & Guo, Y. (2020). Efficacy and Economic Benefits of a Modified Valsalva Maneuver in Patients with Paroxysmal Supraventricular Tachycardia. World Journal of Clinical Cases, 8(23), 5999–6008. https://doi.org/10.12998/wjcc.v8.i23.5999
Published
2022-09-12
Abstract viewed = 246 times
pdf downloaded = 347 times