Originally Posted by
surgeonstone
Interesting note about that. Many years ago (1989), I had an intern who tried carotid massage on a patient in post op SVT. Unfortunately the patient had a carotid artery with atherosclerotic plaque build up which fractured off causing a massive stroke. You are correct, it should not be used.
We've been forbidden to use that in the field for a long time, and I really hate the thought of using adenocard. Used it but never worked. I actually converted SVT with a needle(IV line) stick. The ER was very impressed with that one.
Originally Posted by globecanvas
OK, I went to see my doctor (not the same one from before). He did an EKG that looked completely normal, no sign of WPW. He said that benign PSVT was most likely, showed me the Valsalva maneuver, and said the most important thing was if an episode happens again to just stop whatever I am doing and lie down rather than trying to plow through it.
Good that you're finally figuring out what it most likely is. One word, not sure which maneuvers he showed you but if you happen to do the 'bearing down' one keep an eye on your HR, don't want to plummet to low that you pass out.