vagal maneuver


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Related to vagal maneuver: Valsalva maneuver, carotid sinus massage

vagal maneuver

Any physical action that increases parasympathetic tone and decreases the conduction of the electrical impulses of the heart. Vagal maneuvers may be used as first-line interventions in the evaluation or management of supraventricular tachycardias. Examples include bearing down or straining; massaging the carotid sinus; coughing; gagging; or immersing the face or neck in ice water. See: Valsalva's maneuver
References in periodicals archive ?
Uzun, "Novel vagal maneuver technique for termination of supraventricular tachycardias," The American Journal of Emergency Medicine, vol.
Vagal maneuvers are often used as first line treatment for haemodynamically stable SVT.
* Vagal maneuvers and a trial of [beta]-blockers (if the resting heart rate is greater than 50 beats/rain) may be prescribed empirically if the ECG has no abnormalities and the history suggests a paroxysmal arrhythmia.
* In stable patients with regular narrow complex tachycardia, vagal maneuvers should be attempted initially for termination of the arrhythmia or modification of atrioventicular conduction.
Conversion to normal sinus rhythm was attempted with ice packs, vagal maneuvers, and carotid massage, to no avail.