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- Title
The alternative vagal maneuver; converting atrioventricular nodal re-entrant tachycardia by a rectal thermometer.
- Authors
Avidan, Yuval; Aker, Amir; Tabachnikov, Vsevolod
- Abstract
Vagal maneuvers are techniques used to increase parasympathetic tone, particularly useful in the management of hemodynamically stable supraventricular tachycardias. If ineffective, adenosine can be attempted. We present a patient with atrioventricular nodal re-entrant tachycardia (AVNRT), who could not effectively perform Valsalva maneuvers and had contraindications for carotid massage and adenosine administration, that converted into sinus rhythm by using a rectal thermometer. This maneuver was reproduced on various occasions. We suggest that rectal vagal maneuver may provide an additional therapeutic modality for selected patients with AVNRT.
- Subjects
TACHYCARDIA; THERMOMETERS; VALSALVA'S maneuver; ADENOSINES
- Publication
Oxford Medical Case Reports, 2024, Vol 2024, Issue 1, p1
- ISSN
2053-8855
- Publication type
Article
- DOI
10.1093/omcr/omad143