The use of vagal manoeuvres in narrow complex tachyarrhythmias in primary care

South African Family Practice

Field Value
Title The use of vagal manoeuvres in narrow complex tachyarrhythmias in primary care
Creator Murphy, Shane D. Torlutter, Michele
Subject Primary care; rural medicine family medicine; primary care; rural medicine; supraventricular tachycardia; vagal manoeuvre
Description Supraventricular tachydysrhythmias (SVTs) are a common presenting complaint, with a national prevalence of 3/1000 persons. While most commonly stable, prolonged paroxysms can deteriorate into haemodynamically unstable subtypes or ventricular dysrhythmias. Early recognition with appropriate management is critical to reducing the morbidity associated with this condition. The American Heart Association holds that vagal manoeuvres are a first-line therapy in the management algorithm of stable SVTs. However, they state that no clear recommendations can be made around which manoeuvre to use, highlighting that future research should examine the efficacy and safety profiles of the various manoeuvres. In the South African primary care setting, clinicians must be at the forefront of pragmatic management strategies in the face of resource limitations, such as the unavailability of adenosine – a second-line therapy when vagal manoeuvres fail. In this article, we begin with a case study and review the literature around vagal manoeuvres.
Publisher AOSIS
Date 2022-01-26
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v64i1.5413
Source South African Family Practice; Vol 64, No 1 (2022): Part 1; 5 pages 2078-6204 2078-6190
Language eng
Coverage — — —
Rights Copyright (c) 2022 Shane Darren Murphy