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Living with SVT Without Worries

Heart Rhythm Conditions | Last Active: Dec 29, 2024 | Replies (25)

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@cmcg

Note that we now have two different streams talking about SVT. Here’s a recent article from. The National Library of Medicine on SVT and it mentions the REVERT procedure. Do note however, it talks about the initial Valsalva being done for 60 seconds. We would all likely pass out if we did Valsalva for 60 seconds. The specific literature on REVERT says 15 seconds for both has one and two of the REVERT. Because I am usually exercising when this happens ( so already have elevated BPM, I can barely hold my breath for 15 seconds… sometimes it is only 10-12 but it still works!
https://www.ncbi.nlm.nih.gov/books/NBK441972/
PS I am an RN, so always want to see the official evidenced based researched articles… particularly w the complexity of arrhythmias and the many different types!

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Replies to "Note that we now have two different streams talking about SVT. Here’s a recent article from...."

Hi…. I too am an RN and learned the REVERT procedure from ED doc friend. I am now 11/11 successful REVERT procedures. I have been med free for over a year! I too typically get my SVT when exercising. I find that I can only do the initial valsalva for 10 secs max. And I just blow into my fisted hand to mimic the 10 ml syringe ( that the research used). Important for people to know that a 10 ml syringe is not essential. What is important is doing a valsalva maneuver for 10+ seconds at a 45 degree angle. Best to look at valsalva maneuver on google to see it demonstrated.

Thanks for the article! The original research came out of Europe (France, I believe). The 60 second valsalva must be an error. I will send letter to the editor. Have to find the original article to share the correct evidence. No one could hold a valsalva for 60 secs!