Atrial Fibrillation Induced by Valsalva Maneuver after Cardi | 47311

Medical Reports & Case Studies

ISSN - 2572-5130


Atrial Fibrillation Induced by Valsalva Maneuver after Cardiac Surgery

Yuki Nakamori, Hiroyuki Mima and Kazuo Yamazaki

According to the recent guidelines, both vagal maneuvers and intravenous adenosine are recommended as the first-line treatment for paroxysmal supraventricular tachycardia (PSVT). We report a case of atrial fibrillation (AF) induced by the Valsalva maneuver performed to terminate PSVT in a male patient after cardiac surgery.

Although the efficacy of Valsalva maneuver and modified Valsalva maneuver for PSVT treatment is well known, this case suggests that these maneuvers can have a risk of inducing AF, especially after cardiac surgery. Adenosine can be an alternative strategy when the heart rate is easily controllable by epicardial pacing wires.