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Valsalva Maneuver

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81. Retinopathy, Valsalva (Treatment)

: Diet Diet restrictions are not essential in the management of Valsalva retinopathy. A diet rich in fiber is advisable for those patients with constipation in order to prevent further Valsalva maneuvers that could possibly cause a rebleed. Previous Next: Activity To reduce the risk of a rebleed, physical activity should be limited immediately following the clinical diagnosis and until the retina has sufficiently healed. Individuals with known proliferative diabetic retinopathy (or other retinal (...) vascular diseases) are at increased risk for the development of a vitreous hemorrhage secondary to a Valsalva maneuver; therefore, they should always try to limit activities that cause sudden increases in intrathoracic pressure against a closed glottis. Patients should be advised to sleep in an upright sitting position to promote settling of the blood inferiorly out of the visual axis. Previous Next: Prevention Avoid Valsalva-like maneuvers, if possible. To prevent a rebleed, physical activity should

2014 eMedicine.com

82. Retinopathy, Valsalva (Overview)

. The Valsalva maneuver was named after the Italian anatomist Antonio Maria Valsalva, who defined the Valsalva ligaments and anatomy related to the forcible exhalation effort against a closed glottis. Valsalva retinopathy classically manifests as preretinal hemorrhage secondary to rupturing of superficial retinal vessels caused by physical exertion. The mechanism of a Valsalva maneuver is characterized by a sudden rise in intrathoracic or intraabdominal pressure against a closed glottis, which leads (...) to a rapid rise of intravenous pressure within the eye, causing retinal capillaries to spontaneously rupture. Prognosis is usually good, with spontaneous resolution occurring within months after onset, but depends on location of the hemorrhage and the layer of retina involved. See the images below. Initial presentation of a Valsalva retinopathy less than 24 hours following a Valsalva maneuver in an 18-year-old man. Note the large preretinal hemorrhage. Vision was finger counting at 5 feet. At 4-month

2014 eMedicine.com

83. Retinopathy, Valsalva (Follow-up)

: Diet Diet restrictions are not essential in the management of Valsalva retinopathy. A diet rich in fiber is advisable for those patients with constipation in order to prevent further Valsalva maneuvers that could possibly cause a rebleed. Previous Next: Activity To reduce the risk of a rebleed, physical activity should be limited immediately following the clinical diagnosis and until the retina has sufficiently healed. Individuals with known proliferative diabetic retinopathy (or other retinal (...) vascular diseases) are at increased risk for the development of a vitreous hemorrhage secondary to a Valsalva maneuver; therefore, they should always try to limit activities that cause sudden increases in intrathoracic pressure against a closed glottis. Patients should be advised to sleep in an upright sitting position to promote settling of the blood inferiorly out of the visual axis. Previous Next: Prevention Avoid Valsalva-like maneuvers, if possible. To prevent a rebleed, physical activity should

2014 eMedicine.com

84. Valsalva Manœuvre in the Diagnosis of Left Ventricular Failure in Chronic Obstructive Pulmonary Disease Exacerbation

14, 2012 Last Update Posted : September 24, 2013 Sponsor: University of Monastir Information provided by (Responsible Party): Nouira, University of Monastir Study Details Study Description Go to Brief Summary: Left ventricular failure (LVF) is a common cause of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). This association is frequently underestimated with regard to the difficulty of clinical diagnosis . The investigators expect that Valsalva Maneuver (VM) could be useful (...) in this issue. Condition or disease Intervention/treatment Phase Acute Heart Failure COPD Exacerbation Other: Valsalva maneuver Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 150 participants Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Single (Investigator) Primary Purpose: Diagnostic Official Title: Study of the Valsalva Manœuvre in the Diagnosis of Left Ventricular Failure During

2012 Clinical Trials

85. Cardiovascular responses to passive static flexibility exercises are influenced by the stretched muscle mass and the Valsalva maneuver Full Text available with Trip Pro

Cardiovascular responses to passive static flexibility exercises are influenced by the stretched muscle mass and the Valsalva maneuver The respiratory pattern is often modified or even blocked during flexibility exercises, but little is known about the cardiovascular response to concomitant stretching and the Valsalva maneuver (VM) in healthy subjects.This study evaluated the heart rate (HR), systolic blood pressure (SBP), and rate-pressure product (RPP) during and after large and small muscle

2011 Clinics

86. Failure to unmask pseudonormal diastolic function by a valsalva maneuver: tricuspid insufficiency is a major factor. Full Text available with Trip Pro

Failure to unmask pseudonormal diastolic function by a valsalva maneuver: tricuspid insufficiency is a major factor. For the clinical assessment of patients with dyspnea, the inversion of the early (E) and late (A) transmitral flow during Valsalva maneuver (VM) frequently helps to distinguish pseudonormal from normal filling pattern. However, in an important number of patients, VM fails to reveal the change from dominant early mitral flow velocity toward larger late velocity.From December 2009

2011 Circulation. Cardiovascular imaging

87. Efficacy of the valsalva maneuver on needle projection pain and hemodynamic responses during spinal puncture. Full Text available with Trip Pro

Efficacy of the valsalva maneuver on needle projection pain and hemodynamic responses during spinal puncture. This study evaluated the efficacy of the valsalva maneuver that can induce baroreceptor activation and nociception, on needle projection pain and hemodynamic responses associated with spinal puncture. Ninety adults, ASA physical status I and II undergoing elective surgeries were included. Patients were randomized into three equal groups. Group I (C): control; Group II (B): ball; pressed (...) in NRS was observed in the valsalva group compared with the control and the ball groups (p=0.001). There were statistical but no significant clinical differences in mean arterial blood pressure and heart rates between the study groups (P=0.008 and P=0.016 respectively). In conclusion valsalva maneuver can decrease the skin puncture pain associated with spinal needle projection while observing hemodynamic changes.

2011 International journal of medical sciences Controlled trial quality: uncertain

88. Assessment of sympathetic index from the Valsalva maneuver. Full Text available with Trip Pro

Assessment of sympathetic index from the Valsalva maneuver. Blood pressure (BP) decline and recovery during the Valsalva maneuver (VM) are used to evaluate the degree of sympathetic failure (SF) but a reliable sympathetic index (SI) derived from VM is lacking.Patients with mild (n=20), moderate (n=65), and severe (n=60) SF and 23 healthy controls were evaluated using a standardized battery of autonomic tests. SF was defined as mild (associated with reduced sudomotor volumes at distal leg

2011 Neurology

89. THE EFFECT OF THE VALSALVA MANÅ’UVRE ON THE SYSTEMIC AND PULMONARY ARTERIAL PRESSURE IN MAN Full Text available with Trip Pro

Valsalva Maneuver 5426:45076:44:72 ARTERIES, PULMONARY/physiology BLOOD PRESSURE/physiology 1954 7 1 1954 7 1 0 1 1954 7 1 0 0 ppublish 13182148 PMC479530 J Physiol. 1953 Nov 28;122(2):351-7 13118544 J Appl Physiol. 1951 Nov;4(5):345-50 14938263 Am J Physiol. 1951 May;165(2):261-77 14838110 J Clin Invest. 1950 Jun;29(6):818-9 15436744 Lancet. 1952 Jul 19;2(6725):109-11 14939847 Circulation. 1952 Feb;5(2):263-70 14896471 (...) THE EFFECT OF THE VALSALVA MANÅ’UVRE ON THE SYSTEMIC AND PULMONARY ARTERIAL PRESSURE IN MAN 13182148 2003 05 01 2018 12 01 0007-0769 16 3 1954 Jul British heart journal Br Heart J The effect of the Valsalva manoeuver on the systemic and pulmonary arterial pressure in man. 311-6 DE LEE G J GJ MATTHEWS M B MB SHARPEY-SCHAFER E P EP eng Journal Article England Br Heart J 0370634 0007-0769 OM Arteries Blood Pressure physiology Blood Pressure Determination Humans Lung Pulmonary Artery physiology

1954 British Heart Journal

90. THE VALSALVA MANÅ’UVRE IN AORTIC VALVE DISEASE Full Text available with Trip Pro

THE VALSALVA MANÅ’UVRE IN AORTIC VALVE DISEASE 13471819 2000 07 01 2018 12 01 0007-0769 19 4 1957 Oct British heart journal Br Heart J The Valsalva manoeuvre in aortic valve disease. 525-31 DOYLE A E AE NEILSON G H GH eng Journal Article England Br Heart J 0370634 0007-0769 0 Aortic Valve Disease 1 OM Aortic Valve Aortic Valve Stenosis Blood Pressure Constriction, Pathologic Heart Defects, Congenital Heart Valve Diseases Humans Valsalva Maneuver 5833:14708:47:79 AORTIC VALVE/stenosis BLOOD

1957 British Heart Journal

91. Effects of Valsalva's Manœuvre on the Normal and Failing Circulation Full Text available with Trip Pro

Effects of Valsalva's Manœuvre on the Normal and Failing Circulation 14351748 2003 05 01 2018 12 01 0007-1447 1 4915 1955 Mar 19 British medical journal Br Med J Effects of Valsalva's manoeuvre on the normal and failing circulation. 693-5 SHARPEY-SCHAFER E P EP eng Journal Article England Br Med J 0372673 0007-1447 OM Blood Pressure physiology Blood Pressure Determination Heart Failure physiology Humans Respiration physiology Shock Valsalva Maneuver 5528:2414:92:152:491 BLOOD PRESSURE

1955 British medical journal

92. Effect of beta-adrenergic blockade on beat-to-beat response to Valsalva manoeuvre. (Abstract)

Alprenolol pharmacology Cardiac Output drug effects Clinical Trials as Topic Electrocardiography Heart Rate drug effects Heart Ventricles drug effects Humans Male Placebos Reflex Time Factors Valsalva Maneuver 1974 11 1 1974 11 1 0 1 1974 11 1 0 0 ppublish 4615727 PMC458923 J Appl Physiol. 1966 Sep;21(5):1553-60 5332247 Circulation. 1967 Apr;35(4):653-61 5337274 Am Heart J. 1968 Jul;76(1):70-3 5659278 JAMA. 1969 Jul 14;209(2):239-42 5819228 Am Heart J. 1970 Dec;80(6):729-39 5477617 Cardiovasc Res. 1971 (...) Effect of beta-adrenergic blockade on beat-to-beat response to Valsalva manoeuvre. 4615727 1975 06 09 2018 11 13 0007-0769 36 11 1974 Nov British heart journal Br Heart J Effect of beta-adrenergic blockade on beat-to-beat response to Valsalva manoeuvre. 1082-6 Spodick D H DH Meyer M B MB Quarry-Pigott V M VM eng Clinical Trial Journal Article Randomized Controlled Trial Research Support, U.S. Gov't, Non-P.H.S. England Br Heart J 0370634 0007-0769 0 Placebos 877K5MQ27W Alprenolol AIM IM Adult

1975 British Heart Journal Controlled trial quality: uncertain

93. Valsalva hemorrhagic retinopathy. Full Text available with Trip Pro

Valsalva hemorrhagic retinopathy. 4663671 1973 08 28 2018 11 13 0065-9533 70 1972 Transactions of the American Ophthalmological Society Trans Am Ophthalmol Soc Valsalva hemorrhagic retinopathy. 298-313 Duane T D TD eng Journal Article United States Trans Am Ophthalmol Soc 7506106 0065-9533 IM Adult Angioid Streaks etiology Eye Injuries complications Female Humans Male Middle Aged Retinal Hemorrhage etiology physiopathology Retinal Vessels injuries Valsalva Maneuver Vision, Ocular 1972 1 1 1972

1972 Transactions of the American Ophthalmological Society

94. Alterations in left ventricular volumes induced by Valsalva manoeuvre. Full Text available with Trip Pro

Ventricles diagnostic imaging physiopathology Humans Male Middle Aged Pulse Valsalva Maneuver 1974 7 1 1974 7 1 0 1 1974 7 1 0 0 ppublish 4411920 PMC458885 Am J Med. 1965 Dec;39(6):923-33 5853043 Circulation. 1967 Apr;35(4):653-61 5337274 Invest Radiol. 1966 Sep-Oct;1(5):398-406 5970638 Radiol Clin North Am. 1971 Dec;9(3):361-8 5129481 Circulation. 1973 Feb;47(2):309-16 4684932 (...) Alterations in left ventricular volumes induced by Valsalva manoeuvre. 4411920 1974 12 19 2018 11 13 0007-0769 36 7 1974 Jul British heart journal Br Heart J Alterations in left ventricular volumes induced by Valsalva manoeuvre. 713-8 Brooker J Z JZ Alderman E L EL Harrison D C DC eng Journal Article England Br Heart J 0370634 0007-0769 AIM IM Adult Aged Angiography Blood Pressure Cardiac Output Cardiac Volume Coronary Disease physiopathology Electrocardiography Female Heart Rate Heart

1974 British Heart Journal

95. The effect of graded doses of practolol on the tachycardia induced by isoprenaline, Valsalva's manoeuvre and exercise. Full Text available with Trip Pro

Sympatholytics L628TT009W Isoproterenol IM Acetanilides administration & dosage Adrenergic beta-Antagonists administration & dosage Heart Rate drug effects Humans Isoproterenol antagonists & inhibitors Physical Exertion Sympatholytics administration & dosage Valsalva Maneuver 1970 5 1 1970 5 1 0 1 1970 5 1 0 0 ppublish 4392962 PMC1703059 Br J Pharmacol. 1968 Sep;34(1):127-40 4877600 Lancet. 1964 Feb 8;1(7328):296-300 14089056 (...) The effect of graded doses of practolol on the tachycardia induced by isoprenaline, Valsalva's manoeuvre and exercise. 4392962 1970 07 29 2018 11 13 0007-1188 39 1 1970 May British journal of pharmacology Br. J. Pharmacol. The effect of graded doses of practolol on the tachycardia induced by isoprenaline, Valsalva's manoeuvre and exercise. 193P-194P Aellig W H WH Prichard B N BN eng Journal Article England Br J Pharmacol 7502536 0007-1188 0 Acetanilides 0 Adrenergic beta-Antagonists 0

1970 British journal of pharmacology

96. Heart rate response to Valsalva manoeuvre. Reproducibility in normals, and relation to variation in resting heart rate in diabetics. Full Text available with Trip Pro

physiopathology Female Heart Rate Humans Male Middle Aged Valsalva Maneuver 1977 6 1 1977 6 1 0 1 1977 6 1 0 0 ppublish 884015 PMC483292 JAMA. 1963 Oct 19;186:200-5 14057108 Lancet. 1973 Dec 15;2(7842):1354-6 4128054 J Am Geriatr Soc. 1971 Feb;19(2):159-66 4322074 Br Med J. 1973 Dec 8;4(5892):584-6 4758519 Am J Cardiol. 1966 Jul;18(1):90-9 5938917 Br Heart J. 1975 Aug;37(8):882-5 1191450 Br Med J. 1975 Jul 5;3(5974):15-7 1131653 Diabetes. 1967 Jul;16(7):462-5 6028752 Brain. 1975 Sep;98(3):341-56 810214 (...) Heart rate response to Valsalva manoeuvre. Reproducibility in normals, and relation to variation in resting heart rate in diabetics. 884015 1977 09 22 2018 11 13 0007-0769 39 6 1977 Jun British heart journal Br Heart J Heart rate response to Valsalva manoeuvre. Reproducibility in normals, and relation to variation in resting heart rate in diabetics. 641-4 Baldwa V S VS Ewing D J DJ eng Journal Article England Br Heart J 0370634 0007-0769 AIM IM Adult Age Factors Aged Diabetes Mellitus

1977 British Heart Journal

97. Usefulness of Valsalva manoeuvre and cold pressor test for evaluation of arrhythmias in long QT syndrome. Full Text available with Trip Pro

Arrhythmias, Cardiac diagnosis drug therapy physiopathology Cold Temperature Electrocardiography Exercise Test Female Heart Conduction System physiopathology Humans Propranolol therapeutic use Valsalva Maneuver 1979 10 1 1979 10 1 0 1 1979 10 1 0 0 ppublish 508482 PMC482189 Medicine (Baltimore). 1950 May;29(2):123-68 15416504 Clin Pediatr (Bologna). 1963 Sep;45:656-83 14158288 J Ir Med Assoc. 1964 Apr;54:103-6 14136838 Am Heart J. 1957 Jul;54(1):59-68 13435203 Am Heart J. 1975 Mar;89(3):378-90 234667 Am J (...) Usefulness of Valsalva manoeuvre and cold pressor test for evaluation of arrhythmias in long QT syndrome. 508482 1980 02 28 2018 11 13 0007-0769 42 4 1979 Oct British heart journal Br Heart J Usefulness of Valsalva manoeuvre and cold pressor test for evaluation of arrhythmias in long QT syndrome. 490-2 Rubin S A SA Brundage B B Mayer W W Chatterjee K K eng Case Reports Journal Article Research Support, U.S. Gov't, P.H.S. England Br Heart J 0370634 0007-0769 9Y8NXQ24VQ Propranolol AIM IM Adult

1979 British Heart Journal

98. Rate corrected systolic time intervals and Valsalva manoeuvre. Full Text available with Trip Pro

therapy physiopathology Electrocardiography Female Heart drug effects Heart Failure physiopathology Heart Rate drug effects Humans Male Middle Aged Phonocardiography Propranolol therapeutic use Time Factors Valsalva Maneuver 1973 3 1 1973 3 1 0 1 1973 3 1 0 0 ppublish 4266340 PMC458598 Am J Cardiol. 1966 Sep;18(3):354-60 5922885 Am Heart J. 1970 Oct;80(4):522-31 5471214 Am Heart J. 1953 Feb;45(2):227-36 13016480 Am J Cardiol. 1966 Sep;18(3):387-93 5922887 Br Heart J. 1944 Jan;6(1):33-40 18609953 (...) Rate corrected systolic time intervals and Valsalva manoeuvre. 4266340 1973 05 18 2018 11 13 0007-0769 35 3 1973 Mar British heart journal Br Heart J Rate corrected systolic time intervals and Valsalva manoeuvre. 236-44 Layton C C Di Nunzio H H Gent G G Freedman P P McDonald A A eng Journal Article England Br Heart J 0370634 0007-0769 7C0697DR9I Atropine 9Y8NXQ24VQ Propranolol AIM IM Adult Atropine pharmacology Cardiomegaly physiopathology Cardiomyopathies physiopathology Coronary Disease drug

1973 British Heart Journal

99. Wegener's granulomatosis with abnormal arterial pressure response to the Valsalva manoeuvre. Full Text available with Trip Pro

Humans Male Middle Aged Pressoreceptors Valsalva Maneuver 1967 6 1 1967 6 1 0 1 1967 6 1 0 0 ppublish 6043694 PMC2466252 Am J Med. 1954 Aug;17(2):168-79 13180525 AMA Arch Pathol. 1954 Dec;58(6):533-53 13217569 Lancet. 1960 Mar 12;1(7124):559-62 14445609 Lancet. 1963 May 25;1(7291):1121-6 13969492 Brain. 1965 Mar;88:151-64 14280271 Br Med J. 1955 Mar 19;1(4915):693-5 14351748 J Clin Pathol. 1963 May;16(3):215-9 16811006 J Physiol. 1956 Oct 29;134(1):1-10 13377308 Br Med J. 1958 Aug 2;2(5091):265-70 (...) Wegener's granulomatosis with abnormal arterial pressure response to the Valsalva manoeuvre. 6043694 1967 11 14 2018 11 13 0032-5473 43 500 1967 Jun Postgraduate medical journal Postgrad Med J Wegener's granulomatosis with abnormal arterial pressure response to the Valsalva manoeuvre. 425-7 Holmes A M AM Stretton T B TB eng Journal Article England Postgrad Med J 0234135 0032-5473 IM Arteries Blood Pressure Granulomatosis with Polyangiitis complications physiopathology Heart Failure etiology

1967 Postgraduate medical journal

100. VENOUS DISTENSIBILITY OF THE HAND DURING VALSALVA'S MANÅ’UVRE Full Text available with Trip Pro

VENOUS DISTENSIBILITY OF THE HAND DURING VALSALVA'S MANÅ’UVRE 14005320 1998 11 01 2018 12 01 0007-0769 24 1962 Jan British heart journal Br Heart J Venous distensibility of the hand during Valsalva's manoeuvre. 26-30 WATSON W E WE eng Journal Article England Br Heart J 0370634 0007-0769 OM Blood Pressure physiology Blood Pressure Determination Hand blood supply Humans Pressure Valsalva Maneuver Veins BLOOD PRESSURE/physiology HAND/blood supply 1962 1 1 1962 1 1 0 1 1962 1 1 0 0 ppublish

1962 British Heart Journal

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