Amiodarone and Modified Valsalva Manoeuvre in the Treatment of Emergency Patients with Paroxysmal Supraventricular Tachycardia:A Comparison of Clinical Efficacy
Objective To explore the differences in the clinical efficacy of amiodarone and modified Valsalva manoeuvre in the treatment of emergency patients with paroxysmal supraventricular tachycardia(PSVT).Methods A total of 84 emergency patients with paroxysmal supraventricular tachycardia admitted during the period from March 2018 to March 2023 were included and divided according to different treatment methods into the Valsalva group(treated with modified Valsalva manoeuvre,43 cases)and the amiodarone group(treated with amiodarone,41 cases).The clinical efficacy,defibrillation results(success rate of restoring sinus rhythm,average defibrillation time,and conversion maintenance effective rate),as well as the right internal jugular vein anterior-posterior diameter and left-right diameter before and after treatment and cardiac function indicators[left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume(LVEDV),and left ventricular end-systolic volume(LVESV)]were compared between the two groups.The difference in the incidence of adverse reactions during the treatment period between the two groups was also compared.Results There was no significant difference in the total treatment effectiveness between the two groups(88.37%vs.95.12%,P>0.05);the success rate of restoring sinus rhythm and the conversion maintenance effective rate in the amiodarone group were both higher than those in the Valsalva group(P<0.05);the average defibrillation time in the amiodarone group was higher than that in the Valsalva group(P<0.05);after the intervention,the anterior-posterior diameter and left-right diameter of the right internal jugular vein in both groups increased(P<0.05),and the values in the amiodarone group were higher than those in the Valsalva group(P<0.05);after treatment,LVEF increased in the two groups(P<0.05),LVEDV and LVESV decreased in the two groups(P<0.05),with significant differences between the groups(P<0.05);there was no significant difference in the incidence of adverse reactions between the two groups(11.63%vs.9.76%,P>0.05).Conclusion Compared with the modified Valsalva manoeuvre treatment approach,the amiodarone intervention in the emergency PSVT can achieve a better defibrillation effect,contribute to the expansion of the inner diameter of the right internal jugular vein,and has minor adverse reactions.
万方数据
维普
