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BET 2: Trendelenburg position helps to cardiovert patients in SVT back to sinus rhythm
  1. Lucie Varley⇑,
  2. Laura Howard
  1. Manchester Royal Infirmary, Manchester, UK
  1. Correspondence to Lucie Varley; simon.carley{at}cmft.nhs.uk

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Three-part question

In (adult patients with supraventricular tachycardia) does (putting them in trendelenburg position) help (in cardioverting to sinus rhythm)?

Clinical scenario

A 48-year-old male presents to the ED with a history of 45 min of palpitations. He is otherwise well and his only medical history is of paroxysmal supraventricular tachycardia (SVT). His ECG confirms SVT on this occasion. You are going to attempt the Valsalva manoeuvre and wonder whether the patient should stay sitting or whether the trendelenburg position would …

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