Questions: [Heartcode® ACLS Online PROGRESS Heart Code ACLS 2025 64% What procedure used in the management of stable narrow-complex tachycardia forces a patient to strain against a closed glottis? Choose THE CORRECT ANSWER Valsalva maneuver Carotid sinus massage Miller maneuver Senior maneuver I KNOW IT THINK I KNOW IT NOT SURE NO IDEA Exit Exercise]

The answer is the first one: Valsalva maneuver.

Explanation for each option:

1. Valsalva maneuver: This is the correct answer. The Valsalva maneuver involves the patient straining against a closed glottis, which increases intrathoracic pressure and can help terminate certain types of supraventricular tachycardia by affecting the heart's electrical conduction system.

2. Carotid sinus massage: This is incorrect. Carotid sinus massage involves applying gentle pressure to the carotid artery in the neck to stimulate the vagus nerve, which can also help slow down the heart rate, but it does not involve straining against a closed glottis.

3. Miller maneuver: This is incorrect. There is no widely recognized medical procedure known as the Miller maneuver related to the management of tachycardia.

4. Senior maneuver: This is incorrect. Similar to the Miller maneuver, there is no known medical procedure called the Senior maneuver in the context of managing tachycardia.

In summary, the Valsalva maneuver is the procedure that involves straining against a closed glottis and is used in the management of stable narrow-complex tachycardia.