Cited by 226Cardiac Arrhythmias and TreatmentsCardiovascular Syncope and Autonomic DisordersCardiac electrophysiology and arrhythmias

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial

Open access

Appelboam, Andrew, Reuben, Adam, Mann, Clifford, Gagg, James, Ewings, Paul, Barton, Andrew, Lobban, Trudie, Dayer, Mark, Vickery, Jane, Benger, Jonathan·2015·The Lancet

DOI 10.1016/s0140-6736(15)61485-4

Open this paper in CoChat — free account Open PDF

Abstract

BACKGROUND: The Valsalva manoeuvre is an internationally recommended treatment for supraventricular tachycardia, but cardioversion is rare in practice (5-20%), necessitating the use of other treatments including adenosine, which patients often find unpleasant. We assessed whether a postural modification to the Valsalva manoeuvre could improve its effectiveness. METHODS: We did a randomised controlled, parallel-group trial at emergency departments in England. We randomly allocated adults presenting with supraventricular tachycardia (excluding atrial fibrillation and flutter) in a 1:1 ratio to undergo a modified Valsalva manoeuvre (done semi-recumbent with supine repositioning and passive leg raise immediately after the Valsalva strain), or a standard semi-recumbent Valsalva manoeuvre. A 40 mm Hg pressure, 15 s standardised strain was used in both groups. Randomisation, stratified by centre, was done centrally and independently, with allocation with serially numbered, opaque, sealed, tamper-evident envelopes. Patients and treating clinicians were not masked to allocation. The primary outcome was return to sinus rhythm at 1 min after intervention, determined by the treating clinician and electrocardiogram and confirmed by an investigator masked to treatment allocation. This study is registered with Current Controlled Trials (ISRCTN67937027). FINDINGS: We enrolled 433 participants between Jan 11, 2013, and Dec 29, 2014. Excluding second attendance by five participants, 214 participants in each group were included in the intention-to-treat analysis. 37 (17%) of 214 participants assigned to standard Valsalva manoeuvre achieved sinus rhythm compared with 93 (43%) of 214 in the modified Valsalva manoeuvre group (adjusted odds ratio 3·7 (95% CI 2·3-5·8; p<0·0001). We recorded no serious adverse events. INTERPRETATION: In patients with supraventricular tachycardia, a modified Valsalva manoeuvre with leg elevation and supine positioning at the end of the strain should be considered as a routine first treatment, and can be taught to patients. FUNDING: National Institute for Health Research.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(15)61485-4

Cites

18 of 18 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Paroxysmal supraventricular tachycardia in the general population
Orejarena, L. A., Vidaillet, H., DeStefano, F., Nordstrom, D. L., Vierkant, R. A., Smith, P. N., & Hayes, J. J. (1998) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(97)00422-1 · Cited by 432
Comparison of treatment of supraventricular tachycardia by Valsalva maneuver and carotid sinus massage
Lim, S., Anantharaman, V, Teo, W., Goh, P., & Tan, A. (1998) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(98)70277-x · Cited by 176
The Valsalva manoeuvre—cardiovascular effects and performance technique: a critical review
Looga, R. (2005) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2005.01.003 · Cited by 126
RELATIVE EFFICACY OF VARIOUS PHYSICAL MANOEUVRES IN THE TERMINATION OF JUNCTIONAL TACHYCARDIA
Mehta, D., Ward, D. E., Wafa, S., & Camm, A. J. (1988) · The Lancet · doi:10.1016/s0140-6736(88)92008-9 · Cited by 123
Frequency of disabling symptoms in supraventricular tachycardia
Wood, K. A., Drew, B. J., & Scheinman, M. M. (1997) · The American Journal of Cardiology · doi:10.1016/s0002-9149(96)00701-1 · Cited by 104
Effectiveness of the Valsalva Manoeuvre for reversion of supraventricular tachycardia
Smith, G. D., Fry, M. M., Taylor, D. M., Morgans, A., & Cantwell, K. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009502.pub3 · Cited by 85
Resuscitation guidelines 2010
Jolliffe, D. M. (2011) · Anaesthesia · doi:10.1111/j.1365-2044.2011.06734.x · Cited by 77
U.S. Emergency Department Visits for Supraventricular Tachycardia, 1993–2003
Murman, D. H., McDonald, A. J., Pelletier, A. J., & Camargo, C. A. (2007) · Academic Emergency Medicine · doi:10.1197/j.aem.2007.01.013 · Cited by 75
Normative Data on Phases of the Valsalva Maneuver
Denq, J.-C., O’Brien, P. C., & Low, P. A. (1998) · Journal of Clinical Neurophysiology · doi:10.1097/00004691-199811000-00013 · Cited by 59
Use of the Valsalva manoeuvre in the prehospital setting: a review of the literature
Smith, G. D., Morgans, A., & Boyle, M. J. (2008) · Emergency Medicine Journal · doi:10.1136/emj.2008.061572 · Cited by 58

Show all 18 references

Research works printed but not linked: 3

Cohn, 1914, Paroxysmal tachycardia and the effect of stimulation of the vagus nerves by pressure, Heart, 5, 93
Chance, 1998, Augmented valsalva manoeuvre for supraventricular tachycardia in the young, J Clin Neurophysiol, 15, 535
Gagg J. Southwest SVT survey: current Valsalva manoeuvre techniques in adults with supraventricular tachycardia. EMTA Conference, April 13–15, 2011, Bristol, UK (poster).

Sorted by citations

Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Panchal, A. R., Bartos, J. A., Cabañas, J. G., Donnino, M. W., Drennan, I. R., Hirsch, K. G., Kudenchuk, P. J., Kurz, M. C., Lavonas, E. J., Morley, P. T., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000916 · Cited by 2,312
Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Topjian, A., Raymond, T. T., Atkins, D. L., Chan, M., Duff, J. P., Joyner, B. L., Lasa, J. J., Lavonas, E. J., Levy, A. R., Mahgoub, M., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000901 · Cited by 1,333
2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC)
Brugada, J., Katritsis, D. G., Arbelo, E., Arribas, F., Bax, J. J., Blomström‐Lundqvist, C., Calkins, H. G., Corrado, D., Deftereos, S. G., Diller, G., et al. (2019) · European Heart Journal · doi:10.1093/eurheartj/ehz467 · Cited by 1,312
European Resuscitation Council Guidelines 2021: Adult advanced life support
Soar, J., Böttiger, B. W., Carli, P. A., Couper, K., Deakin, C. D., Djärv, T., Lott, C., Olasveengen, T. M., Paal, P., Pellis, T., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.010 · Cited by 1,255
European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE)
Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188
European Resuscitation Council Guidelines 2025 Adult Advanced Life Support
Soar, J., Böttiger, B. W., Carli, P. A., Carmona, F., Cimpoesu, D. C., Cole, G., Couper, K., D’Arrigo, S., Deakin, C. D., Ek, J. E., et al. (2025) · Resuscitation · doi:10.1016/j.resuscitation.2025.110769 · Cited by 192
JCS/JHRS 2020 Guideline on Pharmacotherapy of Cardiac Arrhythmias
Ono, K., Iwasaki, Y., Akao, M., Ikeda, T., Ishii, K., Inden, Y., Kusano, K., Kobayashi, Y., Koretsune, Y., Sasano, T., et al. (2022) · Circulation Journal · doi:10.1253/circj.cj-20-1212 · Cited by 132
Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Wigginton, J. G., Agarwal, S., Bartos, J. A., Coute, R. A., Drennan, I. R., Haamid, A. S., Kudenchuk, P. J., Link, M. S., Panchal, A. R., Pelter, M. M., et al. (2025) · Circulation · doi:10.1161/cir.0000000000001376 · Cited by 164
Supraventricular tachycardia: An overview of diagnosis and management
Kotadia, I., Williams, S. E., & O'Neill, M. D. (2020) · Clinical Medicine · doi:10.7861/clinmed.cme.20.1.3 · Cited by 95
Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Lasa, J. J., Dhillon, G. S., Duff, J. P., Hayes, J., Kamath‐Rayne, B. D., Levy, A. R., Mahgoub, M., Morgan, R. W., McCormick, T. N., Roberts, J. S., et al. (2025) · Circulation · doi:10.1161/cir.0000000000001368 · Cited by 73
Erweiterte lebensrettende Maßnahmen für Erwachsene
Soar, J., Böttiger, B. W., Carli, P. A., Couper, K., Deakin, C. D., Djärv, T., Lott, C., Olasveengen, T. M., Paal, P., Pellis, T., et al. (2021) · Notfall + Rettungsmedizin · doi:10.1007/s10049-021-00893-x · Cited by 68
Adenosine versus intravenous calcium channel antagonists for supraventricular tachycardia
Alabed, S., Sabouni, A., Providencia, R. A., Atallah, E., Qintar, M., & Chico, T. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005154.pub4 · Cited by 54
Comparing the success rates of standard and modified Valsalva maneuvers to terminate PSVT: A randomized controlled trial
Çorbacıoğlu, Ş. K., Akıncı, E., Çevik, Y., Aytar, H., Öncül, M. V., Akkan, S., & Uzunosmanoğlu, H. (2017) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2017.05.034 · Cited by 48
JCS / JHRS 2020 Guideline on Pharmacotherapy of Cardiac Arrhythmias
Ono, K., Iwasaki, Y., Akao, M., Ikeda, T., Ishii, K., Inden, Y., Kusano, K., Kobayashi, Y., Koretsune, Y., Sasano, T., et al. (2022) · Journal of Arrhythmia · doi:10.1002/joa3.12714 · Cited by 41
Diagnosis and Management of Paroxysmal Supraventricular Tachycardia
Peng, G., & Zei, P. C. (2024) · JAMA · doi:10.1001/jama.2024.0076 · Cited by 44
Alternative Treatment Options for Atrioventricular-Nodal-Reentry Tachycardia: An Emergency Medicine Review
Brubaker, S., Long, B., & Koyfman, A. (2017) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2017.10.003 · Cited by 37
Diagnosis and management of supraventricular tachycardias
Bibas, L., Levi, M., & Essebag, V. (2016) · Canadian Medical Association Journal · doi:10.1503/cmaj.160079 · Cited by 36
Social-media-enabled learning in emergency medicine: a case study of the growth, engagement and impact of a free open access medical education blog
Carley, S. D., Beardsell, I., May, N., Crowe, L., Baombe, J. P., Grayson, A., Carden, R., Liebig, A. V., Gray, C., Fisher, R. M., et al. (2017) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2017-135104 · Cited by 36
Initial and Sustained Response Effects of 3 Vagal Maneuvers in Supraventricular Tachycardia: A Randomized, Clinical Trial
Ceylan, E., Özpolat, Ç., Onur, Ö., Akoğlu, H., & Denizbaşı, A. (2019) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2019.06.008 · Cited by 33
Albumin Versus Balanced Crystalloid for the Early Resuscitation of Sepsis: An Open Parallel-Group Randomized Feasibility Trial— The ABC-Sepsis Trial*
Gray, A. J., Oatey, K., Grahamslaw, J., Irvine, S. R., Cafferkey, J., Kennel, T., Norrie, J. D., Walsh, T. S., Lone, N., Horner, D. E., et al. (2024) · Critical Care Medicine · doi:10.1097/ccm.0000000000006348 · Cited by 29
Self-citation
A multicenter randomized controlled trial of a modified Valsalva maneuver for cardioversion of supraventricular tachycardias
Chen, C.-F., Tam, T. K., Sun, S., Guo, Y., Teng, P., Jin, D., Xu, L., & Liu, X. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.158371 · Cited by 27
2020 Clinical practice guidelines for Supraventricular tachycardia in adults
Bokeria, L. A., Golukhova, E. Z., Popov, S. V., Artyukhina, Е. А., Базаев, В. А., Batalov, R. E., Bokeria, O. L., Vygovsky, A. B., Gilyarov, M. Y., Sp, G., et al. (2021) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2021-4484 · Cited by 23
Bias and Loss to Follow‐Up in Cardiovascular Randomized Trials: A Systematic Review
Fong, L. C. W., Ford, T. J., da Costa, B. R., Jüni, P., & Berry, C. (2020) · Journal of the American Heart Association · doi:10.1161/jaha.119.015361 · Cited by 19
Modified Valsalva maneuver for treatment of supraventricular tachycardias: A Meta-analysis
Lan, Q., Han, B., Wu, F., Yu, P., & Zhang, Z. (2021) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2021.08.067 · Cited by 18
Efficacy and economic benefits of a modified Valsalva maneuver in patients with paroxysmal supraventricular tachycardia
Wang, W., Jiang, T.-F., Han, W., Jin, L., Zhao, X., & Guo, Y. (2020) · World Journal of Clinical Cases · doi:10.12998/wjcc.v8.i23.5999 · Cited by 17
Valsalva using a syringe: pressure and variation
Thornton, H. S., Elwan, M. H., Reynolds, J. A., & Coats, T. (2016) · Emergency Medicine Journal · doi:10.1136/emermed-2016-205869 · Cited by 17
Cardiac tachyarrhythmias and anaesthesia: General principles and focus on atrial fibrillation
Parida, S., & Thangaswamy, C. R. (2017) · Indian Journal of Anaesthesia · doi:10.4103/ija.ija_383_17 · Cited by 19
The effect of patient weight on the success of converting sinus rhythm in patients with PSVT treated with standard dose adenosine
Çorbacıoğlu, Ş. K., Uzunosmanoğlu, H., Karaarslan, F. N., Dağar, S., Emektar, E., & Çevik, Y. (2023) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2023.03.060 · Cited by 16
The reverse vagal manoeuvre: A new tool for treatment of supraventricular tachycardia?
Gaudart, P., Cazes, N., Simon, K., Larger, D., & Deharo, J. (2020) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2020.12.061 · Cited by 15
Unmasking Adenosine: The Purinergic Signalling Molecule Critical to Arrhythmia Pathophysiology and Management
Matthews, G. D. K., & Grace, A. A. (2020) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2019.05 · Cited by 15
Efficacy and safety of modified Valsalva maneuver for treatment of paroxysmal supraventricular tachycardia: a meta-analysis
Zhao, L., Zhu, J., Gao, M., Song, Q., Pan, D., Huang, C., Zhu, L., & Shen, Y. (2024) · Journal of International Medical Research · doi:10.1177/03000605231220871 · Cited by 13
Modified valsalva versus standard valsalva for cardioversion of supraventricular tachycardia: systematic review and meta-analysis
Abdulhamid, A., Almehmadi, F., Ghaddaf, A. A., Alomari, M. S., Zagzoog, A., & AlQubbany, A. (2021) · International Journal of Arrhythmia · doi:10.1186/s42444-021-00030-2 · Cited by 13
Comparison of Various Vagal Maneuvers for Supraventricular Tachycardia by Network Meta-Analysis
Huang, E. P., Chen, C., Fan, C., Sung, C., Lai, P., & Huang, Y. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2021.769437 · Cited by 23
Keeping It “Current”: A Review of Treatment Options for the Management of Supraventricular Tachycardia
Tednes, P., Marquardt, S., Kuhrau, S., Heagler, K., & Rech, M. A. (2023) · Annals of Pharmacotherapy · doi:10.1177/10600280231199136 · Cited by 12
2025 Clinical practice guidelines for Supraventricular tachycardias
Popov, S. V., Davtyan, K. V., Shubik, Y. V., Artyukhina, Е. А., Базаев, В. А., Batalov, R. E., Bokeria, L. A., Bubnova, M. G., Vygovsky, A. B., Sp, G., et al. (2025) · Russian Journal of Cardiology · doi:10.15829/1560-4071-2025-6448 · Cited by 12
Direct current cardioversion in pregnancy: a multicentre study
Cauldwell, M., Adamson, D. L., Bhatia, K., Bhagra, C., Bolger, A. P., Everett, T. R., Fox, C. E., Girling, J., Head, C., English, K. M., et al. (2023) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17457 · Cited by 14
Upside-down position for the out of hospital management of children with supraventricular tachycardia
Bronzetti, G., Brighenti, M., Mariucci, E. M., Fabi, M., Lanari, M., Bonvicini, M., Gargiulo, G., & Pession, A. (2017) · International Journal of Cardiology · doi:10.1016/j.ijcard.2017.10.120 · Cited by 11
A modified Valsalva manoeuvre results in greater termination of supraventricular tachycardia than standard Valsalva manoeuvre
Smith, G. D. (2016) · BMJ Evidence-Based Medicine · doi:10.1136/ebmed-2015-110357 · Cited by 11
Advanced Cardiac Life Support: 2016 Singapore Guidelines
Ching, C., Leong, S., Chua, S., Lim, S., Heng, K. W. J., Pothiawala, S. E., & Anantharaman, V. (2017) · Singapore Medical Journal · doi:10.11622/smedj.2017064 · Cited by 11
Effectiveness of the modified Valsalva manoeuvre in adults with supraventricular tachycardia: a systematic review and meta-analysis
Lodewyckx, E., & Bergs, J. (2021) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000000862 · Cited by 10
Approach to narrow complex tachycardia: non-invasive guide to interpretation and management
Shah, R. L., & Badhwar, N. (2020) · Heart · doi:10.1136/heartjnl-2019-315304 · Cited by 10
Leg Lift Valsalva Maneuver for Treatment of Supraventricular Tachycardias
Michaud, A., & Lang, E. (2016) · Canadian Journal of Emergency Medicine · doi:10.1017/cem.2016.341 · Cited by 10
Evaluation of pre-hospital use of a valsalva assist device in the emergency treatment of supraventricular tachycardia [EVADE]: a randomised controlled feasibility trial
collaborators, E. S. S., Appelboam, A., Green, J., Ewings, P., & Black, S. (2020) · Pilot and Feasibility Studies · doi:10.1186/s40814-020-00616-y · Cited by 10
Self-citation
Etripamil Nasal Spray for Recurrent Paroxysmal Supraventricular Tachycardia Conversion: Results From the NODE‐303 Open‐Label Study
Ip, J. E., Coutu, B., Ip, J. E., Noseworthy, P. A., Parody, M. L., Rafii, F., Sears, S. F., Singh, N. K., Stambler, B. S., Tahirkheli, N. K., et al. (2025) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.70086 · Cited by 9
Essentials of Paroxysmal Supraventricular Tachycardia for the Pediatrician
Borquez, A. A., & Williams, M. R. (2021) · Pediatric Annals · doi:10.3928/19382359-20210217-01 · Cited by 9
Rhythmusstörungen in der Schwangerschaft
Eckardt, L. (2021) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-021-00752-9 · Cited by 9
A Gain-of -Function SLC4A3 Mutation Causes Short-QT Syndrome
Giladi, M., Chorin, O., Piccirillo, S., Prass, E., Wolf, H. R., Shamash, J., Haimovich, A., Barel, O., Viskin, D., Frydman, S., et al. (2025) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2025.03.027 · Cited by 8
Effectiveness of modified Valsalva maneuver by using wide bore syringe for emergency treatment of supraventricular tachycardias: Findings from Pakistan
ASHRAF, H., FATIMA, T., ASHRAF, I., & MAJEED, S. (2023) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.39.3.6725 · Cited by 8
Prehospital conversion of paroxysmal supraventricular tachycardia using the modified Valsalva maneuver: A case report
Gangaram, P., Pillay, Y., Pillay, B. C., & Alinier, G. (2020) · Qatar medical journal · doi:10.5339/qmj.2020.33 · Cited by 7
Arrhythmias in Pediatric Age: A Narrative Review
Strangio, A., Ielapi, J., Sabatino, J., Sarro, R. D., Costanzo, A. D., Sportelli, M., Sicilia, F., Panuccio, G., Salerno, N., Sorrentino, S., et al. (2025) · Children · doi:10.3390/children12121580 · Cited by 7
Valsalva Maneuver Versus Carotid Sinus Massage for Supraventricular Tachycardia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Alfehaid, A., Almutairi, O. T., Albloushi, M. H., Alahmad, A. A., Hasan, M. K., Alawadhi, O., Alibrahim, A. A., Alfailakawi, A. K., Alhatm, M., Almuhannadi, F. N., et al. (2024) · Cureus · doi:10.7759/cureus.70064 · Cited by 9
Executive Summary: European Heart Rhythm Association Consensus Document on the Management of Supraventricular Arrhythmias
Katritsis, D. G., Boriani, G., Cosío, F. G., Jaı̈s, P., Hindricks, G., Josephson, M. E., Keegan, R., Knight, B. P., Kück, K., Lane, D. A., et al. (2016) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2016:5.3.gl1 · Cited by 7
Etripamil: Intranasal Calcium Channel Blocker: A Novel Noninvasive Modality in the Treatment of Paroxysmal Supraventricular Tachycardia
Raja, J. M., Cave, B. E., Jefferies, J. L., & Khouzam, R. N. (2019) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2019.05.003 · Cited by 7
Delayed adenosine therapy is associated with the refractory supraventricular tachycardia in children
Kim, J. H., Jung, J. Y., Lee, S. U., Park, J. W., & Choi, J. Y. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.10.018 · Cited by 7
Valsalva and modified valsalva maneuver
Kobat, M. A., & Karasu, M. (2020) · Journal of Clinical Medicine of Kazakhstan · doi:10.23950/1812-2892-jcmk-00770 · Cited by 7
Comparing methods of adenosine administration in paroxysmal supraventricular tachycardia: a pilot randomized controlled trial
Daengbubpha, P., Wittayachamnankul, B., Sutham, K., Chenthanakij, B., & Tangsuwanaruk, T. (2022) · BMC Cardiovascular Disorders · doi:10.1186/s12872-022-02464-5 · Cited by 7
Testing of a novel Valsalva Assist Device with supine and modified positions in healthy volunteers
FitzGerald, I., Ewings, P., Lang, I., & Appelboam, A. (2018) · Emergency Medicine Journal · doi:10.1136/emermed-2018-208004 · Cited by 7
Self-citation
Cardioversion of a supraventricular tachycardia (SVT) in a 7-year-old using a postural modification of the Valsalva manoeuvre
Morley-Smith, E. J., Gagg, J., & Appelboam, A. (2017) · BMJ Case Reports · doi:10.1136/bcr-2016-218083 · Cited by 6
Self-citation
Modified Valsalva Maneuver for Pediatric Supraventricular Tachycardia
Rayburn, D., & Wagers, B. (2019) · Pediatric Emergency Care · doi:10.1097/pec.0000000000002023 · Cited by 6
Singapore Advanced Cardiac Life Support Guidelines 2021
Ching, C., Leong, B. S., Nair, P., Chan, K., Seow, E., Lee, F. C. Y., Heng, K. W. J., Sewa, D. W., Lim, T., Chong, D., et al. (2021) · Singapore Medical Journal · doi:10.11622/smedj.2021109 · Cited by 6
Making the Quick Diagnosis: A Case of Neonatal Shock
Gardiner, M., Ruttan, T. K., Kienstra, A. J., & Wilkinson, M. H. (2016) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2016.11.003 · Cited by 6
Paroxysmal Supraventricular Tachycardia
Arnold, C., & Martinez, C. J. M. (2019) · Cureus · doi:10.7759/cureus.4883 · Cited by 6
Evaluation of Out-of-Hospital Use of a Valsalva Assist Device in the Emergency Treatment of Supraventricular Tachycardia
Appelboam, A., Osborne, R., Ukoumunne, O. C., Black, S., Cox, M., Richards, N., Rhodes, S., Cook, H., Ou, Y., Hawker, R., et al. (2025) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2025.06.623 · Cited by 5
Self-citation
The Modified Valsalva Maneuver for Reversion of Stable Supraventricular Tachycardia
Davis, W. D., Norris, K. C., & Fiebig, W. (2019) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000252 · Cited by 5
Randomised Controlled Trial Assessing Head Down Deep Breathing Method Versus Modified Valsalva Manoeuvre for Treatment of Supraventricular Tachycardia in the Emergency Department
Lim, H. C., Seah, Y.-E. C., Iqbal, A., Tan, V. H., & Lai, S. M. (2021) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2021.4.51108 · Cited by 5
Narrow Complex Tachycardias
Al-Salamah, T. A., Alageel, M. K., & Alblaihed, L. (2022) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2022.06.009 · Cited by 5
Intranasal etripamil for rapid treatment of paroxysmal supraventricular tachycardia
Calvert, P. A. R., & Gupta, D. (2024) · Future Cardiology · doi:10.1080/14796678.2024.2342651 · Cited by 5
Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review
Astin-Chamberlain, R., Pott, J., Cole, E. M., & Bloom, B. (2024) · Emergency Medicine Journal · doi:10.1136/emermed-2024-214054 · Cited by 5
Diagnosis and treatment of atrioventricular nodal reentrant tachycardia: a case report illustrating clinical management and ablation strategy
Ector, J., Haemers, P., Garweg, C., & Willems, R. (2020) · European Heart Journal - Case Reports · doi:10.1093/ehjcr/ytaa129 · Cited by 5
Cross-cultural adaptation and its impact on research in emergency care
Roberts, T., Carlton, E. W., Booker, M. J., Voss, S. E., Vaillancourt, S., Jafar, A. J. N., & Benger, J. R. (2023) · Emergency Medicine Journal · doi:10.1136/emermed-2022-212337 · Cited by 5
Self-citation
Pathophysiology and treatment of adults with arrhythmias in the emergency department, part 1: Atrial arrhythmias
Ray, L., Geier, C., & DeWitt, K. M. (2023) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/zxad108 · Cited by 6
Electrophysiology of Cranial Nerve Testing: Cranial Nerves IX and X
Martínez, A., Martins, M. P., Moreira, A. L., Martins, C. R., Kimaid, P. A. T., & França, M. C. (2018) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000000423 · Cited by 5
Predictive Value of Ionized Calcium Level for Sinus Rhythm Conversion in Adenosine Treatment for Paroxysmal Supraventricular Tachycardia
Sert, E. T., Kokulu, K., Mutlu, H., Gönen, M. Ö., & Sert, Z. S. (2025) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2025.02.006 · Cited by 4
The effectiveness of Valsalva Maneuver-Assisted percutaneous vertebroplasty in reducing cement leakage in osteoporotic vertebral compression fractures
Wang, Y., Chen, X., Lu, Q., Cui, L., Li, X., Kong, C., & Lu, S. (2025) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-025-08840-4 · Cited by 4
Effect of carotid sinus massage in terminating the episodes of supraventricular tachycardia
Faheem, M. S. B., Imam, W., Ain, H. Q. U., Feroze, F., Saliha, A., Ismail, A., Hassan, S. T., & Khan, M. I. (2025) · Medicine · doi:10.1097/md.0000000000045199 · Cited by 4
Efficacy of modified versus standard Valsalva maneuvers on clinical outcomes and satisfaction of children with paroxysmal supraventricular tachycardia: randomized control trial
Magor, N. R. E., Elhalafawy, S., Ads, S. E. M., Abdelfattah, M. E., & Melika, S. W. M. (2025) · BMC Pediatrics · doi:10.1186/s12887-025-06396-9 · Cited by 4
Device-Assisted vs Standard Valsalva Maneuver for Terminating Supraventricular Tachycardia
Huang, L., Sang, C., Gao, M., Lai, Y., Zhang, J., Wang, Y., Guo, L., Liu, N. N., Liu, X., Guo, X., et al. (2026) · JAMA Cardiology · doi:10.1001/jamacardio.2025.5489 · Cited by 4
Arrhythmia und Breathing in der EKG-Diagnostik
Grautoff, S., Fessele, K., Fandler, M., & Gotthardt, P. (2020) · Notfall + Rettungsmedizin · doi:10.1007/s10049-020-00728-1 · Cited by 4
Effectiveness of the modified valsalva maneuver in the emergency management of supraventricular tachycardia
Saeed, M. S., Mohammad, A. M., & Migliore, F. (2019) · Medical Journal of Babylon · doi:10.4103/mjbl.mjbl_8_19 · Cited by 4
Comparison of an e-learning package with lecture-based teaching in the management of supraventricular tachycardia (SVT): a randomised controlled study
Mohee, K., Haboubi, H., Protty, M. B., Srinivasan, C., Townend, W. K., & Weston, C. F. M. (2020) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2020-139003 · Cited by 4
Can party balloons replace autoinflation balloons to treat glue ear? A technical comparison
Marshall, K., Perera, R., Glasziou, P., & Fleming, S. (2021) · BJGP Open · doi:10.3399/bjgpo.2020.0178 · Cited by 4
Splanchnic Nerve Modulation Effects on Surrogate Measures of Venous Capacitance
Kittipibul, V., Ganesh, A., Coburn, A., Coyne, B. J., Gray, J. M., Molinger, J., Ray, N. D., Podgoreanu, M. V., McCartney, S. L., Mamoun, N. F., et al. (2023) · Journal of the American Heart Association · doi:10.1161/jaha.122.028780 · Cited by 4
Combined modified Valsalva maneuver with adenosine supraventricular tachycardia: A comparative study
Xiao, L., Ou, X., Liu, W., Lin, X., Peng, L., Qiu, S., & Zhang, Q. (2024) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2024.01.035 · Cited by 4
Teaching the modified Valsalva maneuver to terminate SVT
Hayes, D. D. (2018) · Nursing · doi:10.1097/01.nurse.0000547735.82178.71 · Cited by 4
A Man With Incessant Narrow Complex Tachycardia
Sharma, E., & Michael Shengtao, W. U. (2019) · JAMA · doi:10.1001/jama.2019.16560 · Cited by 4
Antiarrhythmic drugs part 2: rhythm-control drugs
Sampson, M. G. (2019) · British Journal of Cardiac Nursing · doi:10.12968/bjca.2019.0067 · Cited by 4
A review of etripamil: A new paradigm for treating paroxysmal supraventricular tachycardia for an informed, shared decision
Ip, J. E. (2026) · Heart Rhythm · doi:10.1016/j.hrthm.2026.01.016 · Cited by 3
Non-Sustained Polymorphic Ventricular Tachycardia Induced by Modified Valsalva in a Pregnant Patient with Supraventricular Tachycardia
Lapalme, C., Kaw, S., Drennan, I. R., & Cheskes, S. (2021) · Prehospital Emergency Care · doi:10.1080/10903127.2021.1999543 · Cited by 3
Evaluation of the prehospital use of a Valsalva assist device in the emergency treatment of supraventricular tachycardia (EVADE SVT): study protocol for a stepped wedge cluster randomised controlled trial
Appelboam, A., Osborne, R., Ukoumunne, O. C., Black, S., Boot, S., Richards, N., Scotney, N., Rhodes, S., Cranston, T., Hawker, R., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-073315 · Cited by 3
Self-citation
Cardiovascular Reflexes - Vagus as the Key Player
Herlekar, S. S., Doyizode, A. R., Siddangoudra, S. P., & Anupama, V. (2024) · Current Cardiology Reviews · doi:10.2174/011573403x284831240408053528 · Cited by 3
REVERT the diagnosis - Modified Valsalva manoeuvre as a method to differentiate supraventricular tachycardia from atrial flutter
Grautoff, S. (2020) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2020.05.105 · Cited by 3
Buccal abscess derived from subcutaneous emphysema caused by the Valsalva maneuver after oral surgery with pedicled buccal fat pad grafting
Shudo, A. (2020) · Oral Surgery · doi:10.1111/ors.12590 · Cited by 3
Supraventricular Tachycardia: Electrocardiogram Diagnosis and Clinical Management for the Non-electrophysiologist
Boehmer, A. A., Rothe, M., Soether, C. M., Kaess, B. M., & Ehrlich, J. R. (2021) · European Journal of Arrhythmia & Electrophysiology · doi:10.17925/ejae.2021.7.1.4 · Cited by 3
The use of vagal manoeuvres in narrow complex tachyarrhythmias in primary care
Murphy, S., & Torlutter, M. (2022) · South African Family Practice · doi:10.4102/safp.v64i1.5413 · Cited by 3
Valsalva- und Müller-Manöver: Wer ist wer und was ist was?
Koehler, U., Degerli, M. A., Hildebrandt, O., Hildebrandt, W., Korbmacher-Steiner, H. M., von Wichert, P., & Podszus, T. (2024) · Pneumologie · doi:10.1055/a-2349-1034 · Cited by 3
Head Down Deep Breathing for Cardioversion of Paroxysmal Supraventricular Tachycardia
Lim, H. C., Lai, S. M., & Wong, K. C. K. (2018) · Case Reports in Emergency Medicine · doi:10.1155/2018/1387207 · Cited by 3
Modified Valsalva manoeuvre in paroxysmal supraventricular tachycardia: Case series
Yañez, S., Barrena, V. G., Salamanca-Zarzuela, B., Torres, I. G., & Gómez, I. B. (2023) · Anales de Pediatría (English Edition) · doi:10.1016/j.anpede.2023.04.013 · Cited by 3
Response heterogeneity in patients with vagal-refractory paroxysmal supraventricular tachycardia treated with adenosine: A retrospective study
Şirin, İ., Vural, N. V., Menekşe, T. S., Şafak, S., Toklu, E. A., & Mısırlıoğlu, H. Y. (2025) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2025.12.016 · Cited by 2
Understanding the ECG. Part 3: Arrhythmias
Sampson, M. G. (2016) · British Journal of Cardiac Nursing · doi:10.12968/bjca.2016.11.1.15 · Cited by 2
Laughter is the best medicine: A novel finding in the treatment of supraventricular tachycardia in a paediatric emergency patient
Pallas, J., & Smiles, J.-P. (2019) · Australasian Emergency Care · doi:10.1016/j.auec.2019.07.002 · Cited by 2

Authors: Appelboam, A., Reuben, A., Mann, C., Gagg, J., Ewings, P., Barton, A., Lobban, T., Dayer, M., Vickery, J., & Benger, J.
Affiliations: Royal Devon & Exeter NHS Foundation Trust (GB)
Musgrove Park Hospital (GB)
University of Exeter (GB)
University of Plymouth (GB)
University of the West of England (GB)
Corresponding author: Appelboam, Andrew
ORCID: Appelboam, Andrew
Reuben, Adam
Mann, Clifford
Gagg, James
Ewings, Paul
Dayer, Mark
Vickery, Jane
Benger, Jonathan
Venue: The Lancet
Publisher: Elsevier BV
Published: 2015-10
Volume: 386
Issue: 10005
Pages: 1747-1753
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(15)61485-4
OpenAlex: W2154338430
Cited by: 226
References: 18
Citations by year: 2026: 23 · 2025: 26 · 2024: 24 · 2023: 20 · 2022: 13 · 2021: 21 · 2020: 27 · 2019: 20 · 2018: 8 · 2017: 19 · 2016: 20 · 2015: 5
FWCI: 12.60
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: The Lancet (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
UWE Research Repository (UWE Bristol) (submittedVersion, cc-by-nc-nd)
Royal Devon and Exeter Research Repository (Royal Devon and Exeter) (submittedVersion, other-oa)
Funders: National Institute for Health Research through its Research for Patient Benefit Programme (grant number PB-PG-0211-24145)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords: supraventricular tachycardia, Valsalva maneuver, passive leg raising, sinus rhythm restoration, emergency department care, cardioversion
MeSH terms: Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Posture, Tachycardia, Supraventricular, Valsalva Maneuver, Supine Position, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks