Hi….. it is much easier if you have someone w you to help w timing and holding up your legs. But Inhave don’t twice now successfully by myself. The attachment shows how clinicians do it in the ED. They ask patients to blow out the stopper of a 10 ml syringe (valsalva). You will never blow out the stopper but it gets you in to a good valsalva movement. I just blow into my fist and try to do it for 15 secs. I often get to only 11 or 12 seconds. I then lie down and put my feet up 45 degrees …. It’s an estimate. And then hold them up for 15 seconds. This is where it helps to have someone help you. But the first time I did it, I laid on the living room floor and then out my feet up on the couch (legs straight out). And yesterday, I had my SVT swimming and was going to get out of the pool by in the shallow end, I was able to do the 15 secs of valsalva and then I laid in the water and put my legs up on the side of the pool and it worked! Two times I have had to go through the procedure twice. And initially, I would take my 40 mg of inderal and then go through the procedure, but it has been so successful that the last 2-3 times I have done the procedure first and didn’t need the meds! Interestingly, I had my routine cardiology visit last week and my cardiologist had never heard of the revert procedure. She was happy to learn about it. I think it was first discovered in Europe and now is commonly used in Emergency Depts in the US.