Efficacy of modified versus standard Valsalva maneuvers on clinical outcomes and satisfaction of children with paroxysmal supraventricular tachycardia: randomized control trial
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View abstract on PubMed
Summary
This summary is machine-generated.The modified Valsalva maneuver (MVM) is more effective than the standard Valsalva maneuver (SVM) for treating paroxysmal supraventricular tachycardia in children. MVM improved clinical outcomes and patient satisfaction, making it a superior treatment option.
Area Of Science
- Pediatric Cardiology
- Emergency Medicine
- Clinical Trials
Background
- Valsalva maneuvers are a primary treatment for paroxysmal supraventricular tachycardia (PSVT) in stable children.
- Comparing modified Valsalva maneuver (MVM) against standard Valsalva maneuver (SVM) is crucial for optimizing pediatric PSVT management.
- This study addresses the need for evidence-based modifications to enhance the efficacy of Valsalva maneuvers in pediatric patients.
Purpose Of The Study
- To compare the efficacy of modified versus standard Valsalva maneuvers in treating pediatric paroxysmal supraventricular tachycardia.
- To evaluate the impact of MVM and SVM on clinical outcomes, including return to sinus rhythm and symptom resolution.
- To assess patient satisfaction levels associated with each Valsalva maneuver technique in pediatric populations.
Main Methods
- A randomized controlled trial involving ninety children diagnosed with PSVT.
- Participants were divided into three groups: control (conventional care), intervention I (MVM + conventional care), and intervention II (SVM + conventional care).
- Primary outcome: return to sinus rhythm within 5 minutes. Secondary outcomes: dyspnea reduction, antiarrhythmic drug use, hospital length of stay, and patient satisfaction.
Main Results
- Over half (53.3%) of children receiving MVM achieved sinus rhythm within 5 minutes, compared to 33.3% with SVM.
- The MVM group reported significantly higher mean satisfaction scores (25.56 ± 1.67) than the SVM group (20.10 ± 2.57).
- MVM demonstrated significant improvements in reducing dyspnea and the need for antiarrhythmic medications.
Conclusions
- The modified Valsalva maneuver is significantly more effective than the standard technique for terminating PSVT in children.
- MVM leads to improved clinical outcomes, including faster rhythm restoration, reduced dyspnea, and decreased reliance on antiarrhythmic drugs.
- Children treated with MVM reported higher satisfaction, highlighting its patient-centered benefits in managing supraventricular tachycardia.
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