| Valsalva termination of ventricular tachycardia. | |
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MedLine Citation:
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PMID: 6773699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nine patients with recurrent ventricular tachycardia (VT) that could be repeatedly terminated by a Valsalva maneuver are described. In two, the tachycardia would cease for only a few seconds and then resume, whereas in seven, the tachycardia could be permanently and reproducibly terminated with a Valsalva maneuver. In all patients the tachycardia ended during the strain phase of the Valsalva maneuver, when blood pressure and radiographic measurement indicated that cardiac dimensions had been reduced dramatically. The speed with which the Valsalva maneuver terminated VT incresed in direct proportion to the strain pressure. Maneuvers such as standing or nitroglycerin, which independently reduce cardiac dimensions, enhanced the potency of the Valsalva maneuvers. Pretreatment with atropine or propranolol in four patients did not alter the response of VT to the Valsalva maneuver. Thus, it appears that a strong Valsalva maneuver can terminate some forms of VT, most likely related to an abrupt reduction in cardiac dimensions. |
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Authors:
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M B Waxman; R W Wald; J P Finley; J F Bonet; E Downar; A D Sharma |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Circulation Volume: 62 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1980 Oct |
Date Detail:
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Created Date: 1980-11-24 Completed Date: 1980-11-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 843-51 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Atropine / therapeutic use Cardiac Pacing, Artificial Child Electrophysiology Female Humans Male Middle Aged Nitroglycerin / therapeutic use Propranolol / therapeutic use Tachycardia / drug therapy, therapy* Time Factors Valsalva Maneuver* |
| Chemical | |
Reg. No./Substance:
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51-55-8/Atropine; 525-66-6/Propranolol; 55-63-0/Nitroglycerin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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