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Valsalva Maneuver

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101. 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

102. SOME CIRCULATORY RESPONSES TO VALSALVA'S MANOEUVRE IN PATIENTS WITH POLYNEURITIS AND SPINAL CORD DISEASE Full Text available with Trip Pro

physiology Neuritis physiology Pressure Spinal Cord Diseases Valsalva Maneuver BLOOD CIRCULATION/physiology BLOOD PRESSURE/physiology POLYNEURITIS/physiology SPINAL CORD/diseases 1962 2 1 1962 2 1 0 1 1962 2 1 0 0 ppublish 14005316 PMC495411 J Physiol. 1953 Nov 28;122(2):351-7 13118544 Lancet. 1956 Apr 28;270(6922):539-41 13320798 Lancet. 1956 Dec 15;271(6955):1247-8 13386221 J Clin Invest. 1954 May;33(5):798-806 13163171 J Physiol. 1958 Jan 23;140(1):113-21 13514654 J Physiol. 1958 Jan 23;140(1):122-8 (...) SOME CIRCULATORY RESPONSES TO VALSALVA'S MANOEUVRE IN PATIENTS WITH POLYNEURITIS AND SPINAL CORD DISEASE 14005316 1998 11 01 2018 12 01 0022-3050 25 1962 Feb Journal of neurology, neurosurgery, and psychiatry J. Neurol. Neurosurg. Psychiatry Some circulatory responses to Valsalva's manoeuvre in patients with polyneuritis and spinal cord disease. 19-23 WATSON W E WE eng Journal Article England J Neurol Neurosurg Psychiatry 2985191R 0022-3050 OM Blood Circulation physiology Blood Pressure

1962 Journal of neurology, neurosurgery, and psychiatry

103. Heat stress alters hemodynamic responses during the Valsalva maneuver Full Text available with Trip Pro

Heat stress alters hemodynamic responses during the Valsalva maneuver The Valsalva maneuver can be used as a noninvasive index of autonomic control of blood pressure and heart rate. The purpose of this investigation was to test the hypothesis that sympathetic mediated vasoconstriction, as referenced by hemodynamic responses during late phase II (phase IIb) of the Valsalva maneuver, is inhibited during whole body heating. Seven individuals (5 men, 2 women) performed three Valsalva maneuvers (...) (each at a 30-mmHg expiratory pressure for 15 s) during normothermia and again during whole body heating (increase sublingual temperature approximately 0.8 degrees C via water-perfused suit). Each Valsalva maneuver was separated by a minimum of 5 min. Beat-to-beat mean arterial blood pressure (MAP) and heart rate were measured during each Valsalva maneuver, and responses for each phase were averaged across the three Valsalva maneuvers for both thermal conditions. Baseline MAP was not significantly

2010 Journal of Applied Physiology

104. Valsalva maneuver to predict dynamic intraventricular obstruction during dobutamine stress echocardiography in patients with hypertension. (Abstract)

Valsalva maneuver to predict dynamic intraventricular obstruction during dobutamine stress echocardiography in patients with hypertension. We were to evaluate the effect of Valsalva maneuver with comparison to preload reduction by nitroglycerin (NTG) to predict intraventricular obstruction (IVO) during dobutamine stress echocardiography (DSE) in patients with hypertension.A total of 38 hypertensive patients (mean age 66.0±9.9 years; 32% male) were prospectively enrolled. The patients (...) interventricular septum thickness and higher basal septal thickness than non-IVO group. At rest, after Valsalva maneuver, during peak dose of dobutamine, and after NTG, IVPG was higher in IVO-group. To predict IVO during DSE, IVPG ≥5 mmHg after Valsalva maneuver had a sensitivity of 70.4% and specificity of 90.9%. and IVPG ≥4.5 mmHg after NTG had a sensitivity of 33.3% and specificity of 90.9%.Simple and safe Valsalva maneuver plays an effective role to predict dynamic IVO in patients with hypertension who

2010 International journal of cardiology

105. Ultrasound probe pressure but not maternal Valsalva maneuver alters Doppler parameters during fetal middle cerebral artery Doppler ultrasonography. (Abstract)

Ultrasound probe pressure but not maternal Valsalva maneuver alters Doppler parameters during fetal middle cerebral artery Doppler ultrasonography. To determine the effects of increased ultrasound probe pressure and maternal Valsalva maneuver (VM) on the middle cerebral artery (MCA) Doppler ultrasonography in fetuses.A total of 120 healthy pregnant women in second and third trimesters were enrolled in the study. MCA blood flow was measured by pulsed Doppler sonography in 60 fetuses (24 and 40

2010 Prenatal diagnosis

107. AIUM Practice Parameter for the Performance of a Peripheral Venous Ultrasound Examination

the actualnormalre?uxtime. b. A duplex interrogation should be performed at as many levels as necessary to ensure a complete examination based on the clinical indications and a standard protocol. 30,32–34 Veins in the super?cial and deep system should be evaluated for re?ux. c. The Valsalva maneuver may be used at the groin; however, augmentation of ?ow with calf compression should generally be used. A rapid cuff in?ation system may also be used. d. The patient should be standing for the detection or exclusion

2020 American Institute of Ultrasound in Medicine

108. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain

with Valsalva maneuver were associated with positive response to the blocks. Lewinnek and Warfield 40 performed a small, retrospective study in 21 individuals with refractory LBP, reporting their results with IA LA and steroid injections (1.5 mL) into the areas of maximal tenderness and pathology identified on X- rays. Patients were selected based on the presence of paraspinal tenderness and negative correlates for other etiologies, such as nerve root tension signs. They found no correlation between any (...) in pre- and post- pain scores associated with lumbar motion IA (single block) There were no unique characteristics identified in patients who reported either no or increased pain after injection. However, the following factors correlated significantly with greater postinjection pain relief: older age, a history of LBP , no leg pain, pain not aggravated by Valsalva maneuver, normal gait, no muscle spasm and pain on extension after forward flexion. Lilius et al 41 Prospective n=109 Outcomes (subjective

2020 American Academy of Pain Medicine

109. Physical Activity and Exercise During Pregnancy and the Postpartum Period

. In addition to aerobic training, elite athletes in most sports also participate in resistance training to increase muscular strength and endurance; however, this training was not considered a safe activity in early guidelines for exercise during pregnancy because of potential injury and possible fetal heart decelerations resulting from Valsalva maneuvers. Consequently, there is sparse literature on this topic . It is prudent for elite athletes who wish to continue strenuous activity during pregnancy (...) exercises and the drawing-in exercise, a maneuver that increases abdominal pressure by pulling in the abdominal wall muscles, have been shown to decrease the incidence of diastasis recti abdominus and decrease the inter-rectus distance in women who gave birth vaginally or by cesarean birth . Regular aerobic exercise in lactating women has been shown to improve maternal cardiovascular fitness without affecting milk production, composition, or infant growth . Women who are lactating should consider

2020 American College of Obstetricians and Gynecologists

111. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

and radiofrequency ablation. Sustained arrhythmias are more frequent in patients with underlying structural heart disease or thyroid or electrolyte disturbances. Stable supraventricular tachycardia treatment should be no different in pregnant patients, and if vagal maneuvers fail, then intravenous adenosine may be used. Wolff-Parkinson-White syndrome can worsen during pregnancy ; intravenous procainamide can be used for wide-complex tachyarrhythmia. Catheter ablation for atrial arrhythmias may be needed (...) . The cardio-obstetrics team will determine delivery plans, including determination of which patients should not deliver vaginally or require assisted second stage of labor. Many hemodynamic changes occur during labor and delivery, particularly in the second stage of labor during Valsalva. For the highest-risk gravidas, it may be appropriate to allow passive descent of the fetal head during the second stage and assist with either forceps or vacuum for delivery when the head reaches the perineum. Cesarean

2020 American Heart Association

112. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain from a Multispecialty, International Working Group Full Text available with Trip Pro

pain and pain aggravation with Valsalva maneuver were associated with positive response to the blocks. Lewinnek and Warfield performed a small, retrospective study in 21 individuals with refractory LBP, reporting their results with IA LA and steroid injections (1.5 mL) into the areas of maximal tenderness and pathology identified on X-rays. Patients were selected based on the presence of paraspinal tenderness and negative correlates for other etiologies, such as nerve root tension signs. They found (...) no association between physical signs and symptoms for the most part did not evaluate this metric. Studies have also shown that maneuvers associated with radicular signs (eg, pain worsened by coughing, pain radiating below the knee) may be predictive of negative diagnostic facet blocks. Similar to other interventions for chronic pain, greater disease burden and psychiatric comorbidities may be associated with definitive treatment failure. When selecting targets for blocks, levels should be determined based

2020 American Society of Regional Anesthesia and Pain Medicine

113. Practice advisory update: Patent foramen ovale and secondary stroke prevention

to define the yield in unselected young patients, and in patients with 11 PFO. 33 12 CONFIDENTIAL: NOT FOR DISSEMINATION, CITATION, OR DUPLICATION 77 1 2 3 4 5 CONFIDENTIAL: NOT FOR DISSEMINATION, CITATION, OR DUPLICATION 78 Statement 1f 1 In patients being considered for PFO closure, clinicians should assess for cardioembolic 2 sources using TTE followed by TEE assessment if the first study does not identify a high- 3 risk stroke mechanism. Studies should use bubble contrast, with and without Valsalva (...) 4 maneuver, to assess for right-to-left shunt and determine degree of shunting (Level B). 5 6 7 8 9 CONFIDENTIAL: NOT FOR DISSEMINATION, CITATION, OR DUPLICATION 79 Statement 1g 1

2020 American Academy of Neurology

114. Is Adenosine or an Intravenous Calcium Channel Blocker More Effective for Treating Supraventricular Tachycardia? (SRS therapy)

?cation of the Valsalva maneuver, in which the patient is placed in the supine position with the legs elevated, has been found to be more effective, with a success rate of 43%. 6 For patients in whom vagal maneuvers are unsuccessful, atrioventricular nodal-blocking agents are recommended. 7 The 2015 American Heart Asso- ciation guidelines for the treat- ment of supraventricular tachycardia recommend adeno- sine as a ?rst-line medication, followed by calcium channel an- tagonists if adenosine (...) tachycardia is a common dysrhythmia, with a prevalence of 2.25 per 1,000 persons and an incidence of 35 per 100,000 person-years. 2 Of these patients, 8% to 20% will have a recurrence of supraven- tricular tachycardia, with most cases occurring in the ?rst 24 hours. 3,4 Initial treatment often involves increasing vagal tone by performing the Valsalva maneu- ver, which is effective in approximately50%ofcasesinthe laboratory setting, although suc- cess rates are much lower in the clinical setting. 5 Amodi

2018 Annals of Emergency Medicine Systematic Review Snapshots

115. Incontinence after Prostate Treatment

of patients who have incontinence after undergoing radical prostatectomy (RP), radiation treatment (RT), and treatment of benign prostatic hyperplasia (BPH). Evaluation of the patient; risk factors for IPT, which should be discussed with all patients prior to treatment; assessment of the patient prior to intervention; and a stepwise approach to management are covered in this guideline. Possible maneuvers to decrease rates of IPT, with specific focus placed on patients with stress urinary incontinence (SUI (...) have incontinence after undergoing RP, RT, and treatment of BPH. Evaluation of the pa- tient; risk factors for IPT, which should be discussed with all patients prior to treatment; assessment of the patient prior to intervention; and a stepwise approach to management are covered in this guideline. Possible maneuvers to decrease rates of IPT, with specific focus placed on patients with SUI, are also ex- plored. The multiple treatments that exist for patients with IPT are discussed and evaluated

2019 American Urological Association

117. Incontinence after Prostate Treatment: AUA/SUFU Guideline (2019)

), and treatment of benign prostatic hyperplasia (BPH). Evaluation of the patient; risk factors for IPT, which should be discussed with all patients prior to treatment; assessment of the patient prior to intervention; and a stepwise approach to management are covered in this guideline. Possible maneuvers to decrease rates of IPT, with specific focus placed on patients with stress urinary incontinence (SUI) are also explored. The multiple treatments that exist for patients with IPT are discussed and evaluated (...) , and treatment of BPH. Evaluation of the patient; risk factors for IPT, which should be discussed with all patients prior to treatment; assessment of the patient prior to intervention; and a stepwise approach to management are covered in this guideline. Possible maneuvers to decrease rates of IPT, with specific focus placed on patients with SUI, are also explored. The multiple treatments that exist for patients with IPT are discussed and evaluated, including physical therapy, medications, and surgery

2019 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

118. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Extracranial Head and Neck

algorithms. Prone, head back, or coronal images with or without Valsalva maneuvers may elucidate some vascular lesions. PRACTICE PARAMETER CT_Extracranial Head and Neck / 5 D. Temporal Bone With a multidetector CT, axial acquisitions are most commonly performed. Routine coronal and/or sagittal reformations are commonly reconstructed per institutional guidelines. In the absence of a multidetector CT, direct coronal images or both axial and coronal images may be performed, if requested. All studies should (...) Roentgenol. 2001;176(6):1571-1575. 11. Hamilton S, Venkatesan V, Matthews TW, Lewis C, Assis L. Computed tomographic volumetric analysis as a predictor of local control in laryngeal cancers treated with conventional radiotherapy. J Otolaryngol. 2004;33(5):289-294. 12. Henrot P, Blum A, Toussaint B, Troufleau P, Stines J, Roland J. Dynamic maneuvers in local staging of head and neck malignancies with current imaging techniques: principles and clinical applications. Radiographics. 2003;23(5):1201-1213. 13

2019 American Society of Neuroradiology

119. Diagnosis and Management of Hymenal Variants

has occurred because the imperforate hymen may open spontaneously at puberty (1). At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. This bulge will distend further with the Valsalva maneuver. Pain may be pelvic or abdominal, cyclic or acute. A vaginal bulge, although common, may not be present. Other findings that may be present include an abdominal mass,urinaryretention

2019 American College of Obstetricians and Gynecologists

120. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

of TIA or ischemic stroke: n Intracardiac masses (thrombus, vegetation) n Valvular pathology 8 (A) 7 (A) 6(M) 6 (M) 6(M) 5 (M) 5 (M) 3 (R) 7 (A) 83. Assessment of intracranial arteries 6(M) 8 (A) 8 (A) 5(M) 84. Assessment of extracranial arteries (evaluation of the carotid and vertebral arteries) 8 (A) 8 (A) 5(M) 8 (A) 85. Provocative maneuvers (Valsalva, cough) to assess for the presence of: n Right-to-left intracardiac shunt 8 (A) 7 (A) 7 (A) 1 (R) 1 (R) 1 (R) 1 (R) 1 (R) 1 (R) 3D ¼ 3-dimensional

2019 Heart Rhythm Society

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