Modification of Valsalva Maneuver as the First Manager of SVT Heart Disease

Abstract

The supraventricular tachycardia is a rapid heart rhythm involving a heart tissue above (supra) ventricular. Ventricular velocity exceeds 100 beats per minute. After the journal obtained Valsalva manoeuvre (VM) can decrease heart rate (HR) in the SVT patients, Valsalva manoeuvre much in the modifications such as giving the position of supination and elevating lower end. So it takes literature study to identify whether Valsalva manoeuvre in lowering HR in SVT patients. The purpose of the study is to determine the effectiveness of VMS that have been modified in the management of SVT based on published journals. Nursing journal searches using the database resources ProQuest, Pubmed, ScienceDirect, EbscoHost, CINAHL, Medline and Wiley Online Library use specific keywords, filtered out the last 5 years from 2015 to 2020. Obtained 20,321 then reduced based on RCT research type, complete article and match the question in this study obtained 21 articles, then conducted the study and adjusted based on the research results, then there are 5 articles used. Results based on 5 literary studies with RCT design, VM with effective modification in lowering HR of SVT patients. Conclusions of the already modified VMS including positioning modifications, holding the breath, the duration of holding the breath as well as elevating the legs proved more effective than the standard VM.