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Valsalva Maneuver

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101. Rate corrected systolic time intervals and Valsalva manoeuvre. (PubMed)

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

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1973 British Heart Journal

102. Alterations in left ventricular volumes induced by Valsalva manoeuvre. (PubMed)

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

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1974 British Heart Journal

103. Effects of different respiratory maneuvers on esophageal sphincters in obese patients before and during anesthesia. (PubMed)

Effects of different respiratory maneuvers on esophageal sphincters in obese patients before and during anesthesia. Data on esophageal sphincters in obese individuals during anesthesia are sparse. The aim of the present study was to evaluate the effects of different respiratory maneuvers on the pressures in the esophagus and esophageal sphincters before and during anesthesia in obese patients.Seventeen patients, aged 28-68 years, with a BMI ≥ 35 kg/m², who were undergoing a laparoscopic gastric (...) by-pass surgery, were studied, and pressures from the hypopharynx to the stomach were recorded using high-resolution solid-state manometry. Before anesthesia, recordings were performed during normal spontaneous breathing, Valsalva and forced inspiration. The effects of anesthesia induction with remifentanil and propofol were evaluated, and positive end-expiratory pressure (PEEP) 10 cmH₂O was applied during anesthesia.During spontaneous breathing, the lower esophageal sphincter (LES) pressure

2010 Acta Anaesthesiologica Scandinavica

104. The Valsalva Maneuver Revisited: the Influence of Voluntary Breathing on Isometric Muscle Strength (PubMed)

The Valsalva Maneuver Revisited: the Influence of Voluntary Breathing on Isometric Muscle Strength We assessed the effects of 4 voluntary breathing conditions on maximal voluntary isometric force of large muscle groups. Ten subjects performed maximum voluntary isometric contractions (MVICs) of knee flexion and extension, shoulder abduction and adduction, and elbow flexion and extension under all breathing conditions: normal breathing, forced inhalation, forced exhalation, and the Valsalva (...) maneuver (VM). Forced exhalation significantly increased peak force during shoulder adduction, elbow extension, and knee extension MVIC tasks (p = 0.001, 0.024, and 0.002, respectively); the peak force during the Valsalva maneuver was not different from forced exhalation for all tested muscle groups. No voluntary breathing condition seemed to influence the peak force during the knee flexion, elbow flexion, and shoulder abduction MVIC tasks. The results demonstrate that voluntary breathing imposes

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2009 Journal of strength and conditioning research / National Strength & Conditioning Association

105. Valsalva maneuver, uncontrolled hypertension, asymmetric septal hypertrophy and dynamic outflow obstruction: a case report (PubMed)

Valsalva maneuver, uncontrolled hypertension, asymmetric septal hypertrophy and dynamic outflow obstruction: a case report A 83-year-old woman presented with a 25-year history of hypertension which was long-standing, uncontrolled, severe hypertension because of irregular oral administration of antihypertensive drug underwent an echocardiographic examination as part of an evaluation of hypertension. She described chest distress associated with activity, syncope for three times in the past one (...) year. On physical examination, she was in no acute distress, with a regular pulse rate and blood pressure of 185/115 mmHg. On auscultation, her lung fields were clear. There was a III/VI late peaking crescendo/decrescendo systolic murmur along the left sternal border radiating to the apex, which increased with standing and Valsalva's maneuver and decreased with squatting. There was no report of provocative maneuvers performed during auscultation. There was no edema. Transthoracic echocardiography

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2009 Cases journal

106. The Valsalva maneuver: screening for drug-induced baroreflex dysfunction. (PubMed)

The Valsalva maneuver: screening for drug-induced baroreflex dysfunction. Many drugs can interfere with baroreflex mechanisms thereby impairing blood pressure control, but few have undergone sufficient testing. The state of affairs may be explained by the lack of simple and inexpensive screening tests.In eleven healthy men, we tested the hypothesis that a simple Valsalva maneuver could detect drug-induced changes in baroreflex function that have previously been described using more elaborate (...) and invasive methodologies. They performed Valsalva maneuvers after selective pharmacological inhibition of the norepinephrine transporter (NET) in a placebo-controlled, double-blind, randomized, crossover fashion. Patients with severe autonomic failure served as positive controls.NET inhibition profoundly augmented the blood pressure decrease during phase II and attenuated the blood pressure overshoot in phase IV compared with placebo. Furthermore, NET inhibition increased the heart rate response during

2009 Clinical autonomic research : official journal of the Clinical Autonomic Research Society

107. The effect of inguinal compression, Valsalva maneuver, and reverse Trendelenburg position on the cross-sectional area of the femoral vein in children. (PubMed)

The effect of inguinal compression, Valsalva maneuver, and reverse Trendelenburg position on the cross-sectional area of the femoral vein in children. For facilitation of femoral venous cannulation, the larger cross-sectional area (CSA) of the vein is helpful and can be achieved by inguinal compression, Valsalva maneuver, or the reverse Trendelenburg position. In this study, we evaluated these methods using ultrasonography in children.Ultrasound was used to measure the CSA of the common femoral (...) vein of 50 anesthetized pediatric patients (Group L: 25 patients more than 2 yr, Group S: 25 patients younger than 2 yr). The following six measurements of the CSA of the femoral vein were made: 1) in the supine position (control), 2) with digital compression above the inguinal ligament, 3) in the Trendelenburg position 15 degrees , 4) in the Trendelenburg position 15 degrees plus inguinal compression, 5) with Valsalva maneuver, and 6) in the reverse Trendelenburg position 15 degrees . We defined

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2009 Anesthesia and Analgesia

108. Valsalva maneuver as migraine inducer: a case report of a woman with patent foramen ovale and an ischemic stroke. (PubMed)

Valsalva maneuver as migraine inducer: a case report of a woman with patent foramen ovale and an ischemic stroke. The association between patent foramen ovale, ischemic stroke, and migraine with aura is well known. It is, however, complicated and generates a considerable debate about the features and clinical consequences of the phenomenon. We report a case of a woman for whom patent foramen ovale has possibly acted as an inducer of both migraine attacks and ischemic stroke.

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2009 Headache

110. Guidelines on Diagnosis and Management of Syncope

evaluation and management according to risk stratification 1892 4.1 Initial evaluation 1892 4.1.1 Diagnosis of syncope 1893 4.1.2 Management of syncope in the emergency department based on risk stratification 1895 4.2 Diagnostic tests 1900 4.2.1 Carotid sinus massage 1900 4.2.2 Orthostatic challenge 1901 4.2.2.1 Active standing 1901 4.2.2.2 Tilt testing 1903 4.2.3 Basic autonomic function tests 1904 4.2.3.1 Valsalva manoeuvre 1904 4.2.3.2 Deep breathing 1904 4.2.3.3 Other autonomic function tests 1904

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2018 European Society of Cardiology

111. Approaches to Limit Intervention During Labor and Birth

and are not contraindicated by maternal medical or obstetric complications. SecondStageofLabor: PushingTechnique Obstetrician–gynecologists and other obstetric care providers in the UnitedStates often encourage women in labor to push with a prolonged, closed glottis effort (ie, Valsalva maneuver) during each contraction. However, when not coached to breathe in a specific way, women push with an open glottis (48). A Cochrane review of eight RCTs that compared spontaneous to Valsalva pushing in the second stage of labor (...) or obstetric complications. c When not coached to breathe in a specific way, women push with an open glottis. In consideration of the limited data regarding superiority of sponta- neous versus Valsalva pushing, each woman should be encouraged to use her preferred and most effec- tive technique. c Collectively, and particularly in light of recent high- quality study findings, data support pushing at the start of the second stage of labor for nulliparous women receiving neuraxial analgesia. Delayed pushing

2019 American College of Obstetricians and Gynecologists

112. 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

113. Headache

be excluded [113]. GRE, SWI, and FLAIR sequences should be included. Pathologies associated with cough headache include Chiari 1 malformation, posterior fossa lesions, aneurysm, intracranial hypotension, hypervolemia, or unilateral carotid artery occlusion. It is sometimes difficult to distinguish primary cough headache from primary exertional headache because valsalva maneuvers frequently occur in the context of many forms of physical exertion. However, several clinical differences between benign cough

2019 American College of Radiology

114. 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

115. Neuro-urology

maneuver: a urodynamic study of 207 patients. J Urol, 1983. 130: 720. 146. Reinberg, Y., et al. Renal rupture after the Crede maneuver. J Pediatr, 1994. 124: 279. 147. Wyndaele, J.J., et al. Neurologic urinary incontinence. Neurourol Urodyn, 2010. 29: 159. 148. Menon, E.B., et al. Bladder training in patients with spinal cord injury. Urology, 1992. 40: 425. 149. Furusawa, K., et al. Incidence of symptomatic autonomic dysreflexia varies according to the bowel and bladder management techniques

2019 European Association of Urology

116. 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

117. 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

119. 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

120. 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

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