{"id":363,"date":"2016-02-19T23:05:22","date_gmt":"2016-02-19T23:05:22","guid":{"rendered":"http:\/\/news-papers.eu\/?p=363"},"modified":"2016-02-20T00:23:24","modified_gmt":"2016-02-19T23:23:24","slug":"das-ist-ja-umwerfend","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=363","title":{"rendered":"Das ist ja &#8222;umwerfend&#8220;&#8230;"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"377\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=377\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?fit=953%2C469\" data-orig-size=\"953,469\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"SVT2\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?fit=953%2C469\" class=\"size-medium wp-image-377 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?resize=300%2C148\" alt=\"SVT2\" width=\"300\" height=\"148\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?resize=300%2C148 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?resize=768%2C378 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?resize=750%2C369 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?w=953 953w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>In den letzten Monaten sind einige sehr interessante Artikel\u00a0zur Therapie von supraventrikul\u00e4ren Tachykardien (SVT) publiziert worden.<\/p>\n<p>Initial sind wir \u00fcber die Publikation von <strong>Un et al.<\/strong> aus Istanbul\/T\u00fcrkei<\/p>\n<blockquote><p><em>Un H, et al.\u00a0Novel vagal maneuver technique for termination of supraventricular tachycardias. <strong>Am J Emerg Med<\/strong> 2016; 34: 118e5-7; doi: 10.1016\/j.ajem.2015.05.028<\/em><\/p><\/blockquote>\n<p>auf dieses Thema aufmerksam geworden.<\/p>\n<p>Auch im Lancet wurde eine randomisierte kontrollierte Untersuchung (<strong>REVERT-Studie, <\/strong><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(15)61485-4\/abstract\" target=\"_blank\">PDF<\/a>) hierzu von <strong>Appelboam et al. <\/strong>publiziert:<\/p>\n<blockquote><p><em>Appelboam A, et al. Postural modification to the standard Valsalva manoeuvre\u00a0for emergency treatment of supraventricular tachycardias\u00a0(REVERT): a randomised controlled trial. <strong>Lancet<\/strong> 2015; 386: 1747\u201353<\/em><\/p><\/blockquote>\n<p><strong>Appelboam et al.<\/strong> untersuchten\u00a0in ihrer randomisierten und kontrollierten Studie\u00a0aus England 428 Patienten mit einer SVT\u00a0 (cave: Vorhofflimemrn und -flattern war ausgeschlossen). Die Patienten wurde 1:1 in zwei Gruppen randomisierte:<\/p>\n<ul>\n<li><strong>Gruppe 1:<\/strong> modifiziertes Valsalva-Man\u00f6ver [Druckaufbau 40 mmHg, 15 sec. und nachfolgend R\u00fcckenlagerung und passives Anheben der Beine (&#8222;passive leg raise&#8220;)] (<a href=\"https:\/\/www.youtube.com\/watch?v=8DIRiOA_OsA\" target=\"_blank\">Video<\/a>)<\/li>\n<li><strong>Gruppe 2:<\/strong> herk\u00f6mmliches Valsalva-Man\u00f6ver (Druckaufbau 40 mmHg, 15 sec. )<\/li>\n<\/ul>\n<p><strong>Die Ergebnisse sind &#8222;umwerfend&#8220;:<\/strong> 93\/214 (43%) der Patienten aus Gruppe 1 zeigten eine Konversion im Vergleich zu nur 37\/214 (17%) der Patienten aus Gruppe 2: adjustierte Odds Ratio: 3,7 (95% CI 2,3\u20135,8; p&lt;0,0001). Es wurden keine schweren Komplikationen berichtet.<\/p>\n<p>Wie macht man dieses neue vagale Man\u00f6ver nun: Geniessen\u00a0Sie das entsprechende <a href=\"https:\/\/www.youtube.com\/watch?v=8DIRiOA_OsA\" target=\"_blank\"><strong>Video<\/strong><\/a>\u00a0als Anleitung dazu.<\/p>\n<p><strong><em>Und? Haben Sie Ihren SVT-Patienten heute schon umgeworfen?<\/em><\/strong><\/p>\n<p>Vor dem modifizierten Valsalva-Man\u00f6ver:<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"375\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=375\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?fit=953%2C205\" data-orig-size=\"953,205\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"SVT Kopie\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?fit=953%2C205\" class=\"alignnone wp-image-375\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?resize=651%2C141\" alt=\"SVT Kopie\" width=\"651\" height=\"141\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?resize=300%2C65 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?resize=768%2C165 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?resize=750%2C161 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT-Kopie.png?w=953 953w\" sizes=\"auto, (max-width: 651px) 100vw, 651px\" \/><\/p>\n<p>Nach dem modifizierten Valsalva-Man\u00f6ver:<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"376\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=376\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?fit=945%2C233\" data-orig-size=\"945,233\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sinusrhythmus\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?fit=945%2C233\" class=\"alignnone wp-image-376\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?resize=649%2C160\" alt=\"Sinusrhythmus\" width=\"649\" height=\"160\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?resize=300%2C74 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?resize=768%2C189 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?resize=750%2C185 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/Sinusrhythmus.png?w=945 945w\" sizes=\"auto, (max-width: 649px) 100vw, 649px\" \/><\/p>\n<hr \/>\n<p><strong>Weitere interessante Informationen finden Sie hier:<\/strong><\/p>\n<blockquote><p><em>Page RL, et al.\u00a02015 ACC\/AHA\/HRS Guideline for the Management of Adult Patients With\u00a0Supraventricular Tachycardia: Executive Summary.\u00a0A Report of the American College of Cardiology\/American Heart Association Task\u00a0Force on Clinical Practice Guidelines and the Heart Rhythm Society. <strong>J Am Coll Cardiol\u00a0<\/strong>2015, \u00a0doi: 10.1016\/j.jacc.2015.09.019.\u00a0\u00a0(<a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0735109715062038\" target=\"_blank\">PDF<\/a>)<\/em><\/p>\n<p><em>Page RL, et al.\u00a02015 ACC\/AHA\/HRS Guideline for the Management of Adult Patients With\u00a0Supraventricular Tachycardia.\u00a0A Report of the American College of Cardiology\/American Heart Association Task\u00a0Force on Clinical Practice Guidelines and the Heart Rhythm Society. <strong>Circulation<\/strong> 2015 (<a href=\"http:\/\/circ.ahajournals.org\/content\/early\/2015\/09\/22\/CIR.0000000000000311.long\" target=\"_blank\">PDF<\/a>)<\/em><\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>In den letzten Monaten sind einige sehr interessante Artikel\u00a0zur Therapie von supraventrikul\u00e4ren Tachykardien (SVT) publiziert worden. Initial sind wir \u00fcber die Publikation von Un et al. aus Istanbul\/T\u00fcrkei Un H, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":377,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[8],"tags":[34,32,31,33],"class_list":["post-363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-herz-kreislauf","tag-konversion","tag-supraventrikulaere-tachykardie","tag-svt","tag-valsalva-manoever"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/SVT2.png?fit=953%2C469","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-5R","jetpack-related-posts":[{"id":20592,"url":"http:\/\/news-papers.eu\/?p=20592","url_meta":{"origin":363,"position":0},"title":"Kardioversion ohne Strom und Medis ?","author":"Bj\u00f6rn Hossfeld","date":"April 9, 2026","format":false,"excerpt":"Ein Gastbeitrag von Stefanie Maier, Ulm\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0zur Anwendung und Wirksamkeit des Valsalva-Man\u00f6vers bei supraventrikul\u00e4rer Tachykardie in der pr\u00e4hospitalen Notfallversorgung Die supraventrikul\u00e4re Tachykardie (SVT) ist eine der h\u00e4ufigsten Herzrhythmusst\u00f6rungen. 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Bew\u00e4ltigung von besonderen Bedrohungslagen.\u00a0Ergebnisse des bundesweiten Auswerteprozesses am Bundesamt f\u00fcr Bev\u00f6lkerungsschutz und Katastrophenhilfe \u2013 Teil 1: Pr\u00e4klinisches Management. Notfall Rettungsmed 2018; 21:664\u2013672 PDF: https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10049-018-0516-6.pdf und Wurmb T, et al.\u00a0Krankenhaus: Lebensbedrohliche Einsatzlagen.\u00a0Dtsch Arztebl 2019; 116(40):\u2026","rel":"","context":"In &quot;Terror&quot;","block_context":{"text":"Terror","link":"http:\/\/news-papers.eu\/?cat=774"},"img":{"alt_text":"Ankunft Notaufnahme","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/05.jpg?fit=1200%2C800&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/05.jpg?fit=1200%2C800&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/05.jpg?fit=1200%2C800&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/05.jpg?fit=1200%2C800&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/05.jpg?fit=1200%2C800&resize=1050%2C600 3x"},"classes":[]},{"id":11732,"url":"http:\/\/news-papers.eu\/?p=11732","url_meta":{"origin":363,"position":4},"title":"#FightingCorona: Massenanfall von kritisch kranken Patienten","author":"Michael Bernhard","date":"Juli 9, 2020","format":false,"excerpt":"Wie bereiten sich Krankenh\u00e4user unter SARS-CoV2 auf den Massenanfall von kritisch kranken Patienten vor ? Thomas Wurmb und Kollegen haben hierzu einen Artikel in Crit Care publiziert: Wurmb T et al. Hospital preparedness for mass critical care during SARS-CoV-2 pandemic. Critical Care (2020) 24:386 Krankenh\u00e4user standen und stehen im Fokus\u2026","rel":"","context":"In &quot;COVID-19&quot;","block_context":{"text":"COVID-19","link":"http:\/\/news-papers.eu\/?cat=1821"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/07\/Bildschirmfoto-2020-07-03-um-19.33.25.png?fit=378%2C286&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":10686,"url":"http:\/\/news-papers.eu\/?p=10686","url_meta":{"origin":363,"position":5},"title":"Klinischer Schnappschuss: Aortenverschluss","author":"Michael Bernhard","date":"Dezember 29, 2019","format":false,"excerpt":"Isabel von Auenm\u00fcller und Kollegen haben folgenden klinischen Schnappschuss im Deutschen \u00c4rzteblatt publiziert: von Auenm\u00fcller I et al. Querschnittssymptomatik als Erstmanifestation eines thromboembolischen Aortenverschlusses. Dtsch Arztebl Int 2019; 116: 857; DOI: 10.3238\/arztebl.2019.0857a Ein wirklich interessanter Fall.","rel":"","context":"In &quot;Fallbericht&quot;","block_context":{"text":"Fallbericht","link":"http:\/\/news-papers.eu\/?cat=103"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=525%2C300 1.5x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=363"}],"version-history":[{"count":12,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/363\/revisions"}],"predecessor-version":[{"id":393,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/363\/revisions\/393"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/377"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=363"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}